Individual
HADEEL ALATRASH HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME127471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018114600
—
FL
05
—
11647644752
—
DE
Enumeration date
03/25/2013
Last updated
04/14/2021
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