Organization
PHAMHASELL PA
Active
Other names
The Pediatric Specialists Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLASS MORRISON HASELL M.D. (PRESIDENT)
(727) 375-5437
Entity
Organization
Contact information
Practice address
2044 TRINITY OAKS BLVD, SUITE 235, TRINITY, FL 34655-4405
(727) 375-5437
(727) 375-0502
Mailing address
2044 TRINITY OAKS BLVD, SUITE 235, TRINITY, FL 34655-4405
(727) 375-5437
(727) 375-0502
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275731100
—
FL
Enumeration date
03/22/2007
Last updated
10/23/2015
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