Individual
WILLIAM HARTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2630
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 862810, ORLANDO, FL 32886-2810
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME56245
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050083493
RAILROAD MEDICARE
FL
05
—
061855100
—
FL
01
—
08411
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/18/2006
Last updated
04/20/2009
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