Organization
OLIVER M HASEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVER M HASEK MD (OWNER)
(850) 235-8948
Entity
Organization
Contact information
Practice address
202 DOCTORS DRIVE, PANAMA CITY, FL 32405
(850) 234-7961
(850) 235-8948
Mailing address
202 DOCTORS DRIVE, PANAMA CITY, FL 32405
(850) 234-7961
(850) 235-8948
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141863
MEDICARE
FL
05
—
370002000
—
FL
Enumeration date
06/07/2013
Last updated
06/07/2013
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