Individual
ANDREA JOYCE HACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2120 E JOHNSON AVE, WEST FLORIDA INTERNAL MEDICINE, LLC, PENSACOLA, FL 32514-6028
(850) 494-4885
(850) 494-4910
Mailing address
2120 E JOHNSON AVE, WEST FLORIDA PHYSICIAN SERVICES, PENSACOLA, FL 32514-6028
(850) 494-5403
(850) 494-4993
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0067737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26716
BSFL
FL
05
—
37719800
—
FL
01
—
542112
AETNA
FL
Enumeration date
12/13/2005
Last updated
09/08/2008
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