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Individual

DR. RONALD TERRY HADAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4207 59TH STREET W, BRADENTON, FL 34209-6663
(941) 792-8184
(941) 795-4892
Mailing address
2835 W DE LEON ST, SUITE 101, TAMPA, FL 33609-5518
(813) 254-4747
(941) 795-4892

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1502
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4535511
AETNA
FL
01
593244840
HUMANA
FL
01
87802
BCBS
FL
01
PO1502
STATE LICENSE NUMBER
FL
Enumeration date
05/02/2006
Last updated
06/25/2014
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