Individual
STEPHEN G HLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(954) 838-2588
(954) 514-3979
Mailing address
1613 HARRISON PKWY, SUITE 200, SUNRISE, FL 33323-2896
(954) 838-2588
(954) 514-3979
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA111
FL
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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