Individual
DR. GREGORY R HARTLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 MEDICAL DR., TALLAHASSEE, FL 32308
(850) 216-0100
Mailing address
525 N CALHOUN ST, TALLAHASSEE, FL 32301-1231
(678) 953-0178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME118901
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME118901
FL
Other
Enumeration date
06/10/2008
Last updated
06/08/2015
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