Individual
MICHAEL HATZIDAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10225 ULMERTON RD, BUILD 10B, LARGO, FL 33771-3538
(727) 754-9787
(727) 754-9788
Mailing address
PO BOX 635, LARGO, FL 33779-0635
(727) 754-9787
(727) 754-9788
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
30211705
FL
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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