Individual
JACK W HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-3000
(352) 392-8530
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-3000
(352) 392-8530
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME97921
FL
207RX0202X
Medical Oncology Physician
MA65742
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8958807
—
NJ
Enumeration date
03/31/2006
Last updated
03/21/2008
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