Individual
DR. GEORGE J HAEDICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 N HABANA AVE, SUITE 22, TAMPA, FL 33614-7123
(813) 874-7529
(813) 879-1961
Mailing address
4600 N HABANA AVE, SUITE 22, TAMPA, FL 33614-7123
(813) 874-7529
(813) 879-1961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0052210
FL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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