Individual
DR. GEORGE LESLIE HAFFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19412 BRUCE B DOWNS BLVD, TAMPA, FL 33647-3062
(813) 994-4800
(813) 994-9940
Mailing address
408 LAKEWOOD AVE, TAMPA, FL 33613-1829
(813) 994-4800
(813) 994-9940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101201
EYEMED
FL
Enumeration date
03/13/2007
Last updated
07/09/2007
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