Individual
IVONNE HAZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40100 HIGHWAY 27, DAVENPORT, FL 33837-5906
(863) 419-2278
Mailing address
8175 LAUREATE BLVD, ORLANDO, FL 32827-7426
(863) 662-1120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9374973
FL
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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