Individual
MS. HAZEL MARY HOSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1258
(305) 585-1263
Mailing address
1931 NW 194TH TER, MIAMI GARDENS, FL 33056-2855
(305) 621-6772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3040
FL
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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