Individual
DR. JONATHAN MICHAEL HADAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8828 SW 79TH AVE, GAINESVILLE, FL 32608-8718
(515) 460-3239
Mailing address
8828 SW 79TH AVE, GAINESVILLE, FL 32608-8718
(515) 460-3239
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME120091
FL
207L00000X
Anesthesiology Physician
TRN#14900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012123400
—
FL
Enumeration date
07/30/2010
Last updated
08/06/2014
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