Individual
JULIA HAGSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 WATERMAN WAY, TAVARES, FL 32778-5229
(352) 343-2364
(352) 430-0709
Mailing address
PO BOX 935921, ATLANTA, GA 31193-5921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11004441
FL
Other
Enumeration date
12/30/2022
Last updated
03/24/2025
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