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Individual

DR. KAREN HAGEROTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4501 WOODBINE ROAD, PACE, FL 32571-8706
(850) 994-1205
(850) 994-1206
Mailing address
4501 WOODBINE ROAD, PACE, FL 32571-8706
(850) 994-1205
(850) 994-1206

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P44571
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73828
BCBS
FL
Enumeration date
11/09/2005
Last updated
05/06/2024
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