Individual
DR. ROBERT EDWARD HACKETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VA OUTPATIENT CLINIC, 2900 VETERANS WAY, VIERA, FL 32940
(321) 637-3788
(321) 637-3548
Mailing address
3140 CELINA LANE, MELBOURNE, FL 32934-8477
(321) 751-6626
(321) 751-6626
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20703
FL
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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