Individual
HENRY ANDREW HAZLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 PINELLAS STREET, SUITE 400, CLEARWATER, FL 33756-3356
(727) 445-1911
(727) 445-1986
Mailing address
455 PINELLAS STREET, SUITE 400, CLEARWATER, FL 33756-3356
(727) 445-1911
(727) 445-1986
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME66184
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME66184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375822200
—
FL
Enumeration date
11/07/2005
Last updated
10/04/2018
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