Individual
DR. OLIVER MARTIN HASEK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 HOSPITAL DR, BONIFAY, FL 32425-4264
(850) 547-8000
Mailing address
7205 THOMAS DR # 1906, PANAMA CITY BEACH, FL 32408-7501
(850) 387-6290
(850) 234-7961
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
61068
FL
207Q00000X
Family Medicine Physician
61068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14863
BC/BS OF FL
FL
05
—
370002000
—
FL
01
—
61068
MEDICAL LICENSE
FL
Enumeration date
01/05/2006
Last updated
03/30/2022
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