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Individual

DR. ANTHONY EDWARD HAMATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14444 BEACH BLVD, SUITE 305B, JACKSONVILLE, FL 32250-2079
(904) 223-6410
(904) 821-9688
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0192
(904) 282-6331
(904) 282-1550

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME0057642
FL
208000000X
Pediatrics Physician
Primary
ME0057642
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055515100
FL
01
12299
BCBS
FL
01
370016071
RRMCR
FL
Enumeration date
01/04/2006
Last updated
06/23/2015
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