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Individual

BERNADETTE HETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
SEVEN RIVERS EMERGENCY DEPT, 6201 N. SUNCOAST BLVD, CRYSTAL RIVER, FL 34428
(352) 795-8348
Mailing address
2761 W EDISON PL, CITRUS SPRINGS, FL 34433-6115
(352) 422-5926

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101821
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292303300
FL
Enumeration date
07/11/2006
Last updated
02/27/2023
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