Individual
ANNETTE CREE HAZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3981 VERSAILLES DR, ORLANDO, FL 32808-2261
(860) 920-8849
Mailing address
3981 VERSAILLES DR, ORLANDO, FL 32808-2261
(860) 920-8849
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003982100
—
FL
Enumeration date
02/07/2012
Last updated
02/07/2012
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