Individual
DR. JUDITH A HARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3920 MICHIGAN AVE, FORT MYERS, FL 33916-2205
(239) 332-9510
(239) 332-9656
Mailing address
3920 MICHIGAN AVE, FORT MYERS, FL 33916-2205
(239) 332-9510
(239) 332-9656
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
PHC12
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372865000
—
FL
Enumeration date
09/01/2006
Last updated
07/09/2007
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