Individual
MR. MACK EVANS HADDOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1160 SE 18TH PL, OCALA ENDOSCOPY CENTER, OCALA, FL 34471-5422
(352) 732-8905
(352) 732-2440
Mailing address
911 SOLEDAD WAY, THE VILLAGES, FL 32159-9112
(352) 259-7483
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9201655
FL
Other
Enumeration date
12/28/2005
Last updated
07/08/2007
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