Individual
DR. FREDERICK HARTKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 S ORANGE AVE, ORLANDO, FL 32806
(407) 999-9977
(321) 309-9033
Mailing address
PO BOX 400, MELBOURNE, FL 32902
(954) 698-9399
(954) 698-6963
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
41437
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
ME0091257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271038200
—
FL
Enumeration date
08/24/2006
Last updated
07/18/2016
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