Individual
RONALD HEDGEPETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4224 OAK LODGE WAY, WINTER GARDEN, FL 34787-5349
(646) 238-5378
Mailing address
4224 OAK LODGE WAY, WINTER GARDEN, FL 34787-5349
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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