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Provider Information for 1851394274

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SYLVIA LEAN HAZELWOOD ARNP-C

Gender: FEMALE

Individual NPI: 1851394274

Calendar   Last Updated:  2011-08-04
  Certification Date: 

Details

Name Value
NPI 1851394274
Enumeration Date 2005-05-31
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 6210 UPCOUNTRY DRIVE
ZEPHYRHILLS, FL 33542-2860
United States

Phone: 813-486-4612 | Fax: 813-200-8913
View Map External Link
Primary Practice Address 6210 UPCOUNTRY DRIVE
ZEPHYRHILLS, FL 33542-2860
United States

Phone: 813-486-4612 | Fax: 813-200-8913
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other RAILROAD FL 5000014804
MEDICAID FL 303319800
Other BLUE CROSS BLUE SHIELD FL Y0755
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LF0000X - Nurse Practitioner Family FL ARNP 3233312