DR. GEORGE J HAEDICKE


Address: 4600 N Habana Ave, Suite 22, Tampa, FL 33614-7123
Phone: 8138747529

DR. GEORGE J HAEDICKE (NPI# 1750475919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750475919
Entity Type Individual
Full Name DR. GEORGE J HAEDICKE
Credential M.D.
Practice Address 4600 N Habana Ave
Suite 22
Tampa
FL 33614-7123
Practice Telephone 8138747529
Practice Fax Number 8138791961
Mailing Telephone 8138747529
Mailing Fax Number 8138791961
Enumeration Date 2006-10-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ME0052210 FL Other Service Providers

Office Location

Street Address 4600 N HABANA AVE
SUITE 22
City TAMPA
State FL
Zip Code 33614-7123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578559753 Leopoldo Grauer Md Pa Internal Medicine 4600 N Habana Ave, Ste 29, Tampa, FL 33614-7166 2005-09-23
1053701359 Luis E. Kortright M.d. Orthopaedic Surgery 4600 N Habana Ave, Suite # 6, Tampa, FL 33614-7112 2015-01-26
1780922997 Ruben J Perez-ramos Internal Medicine 4600 N Habana Ave, # 27, Tampa, FL 33614-7112 2013-01-23
1922342906 Md and Wellness Center Inc Clinic/Center 4600 N Habana Ave, Suite 12, Tampa, FL 33614-7112 2012-11-15
1811275720 Ramon Hugo Sanchez, M.d., Pa Independent Medical Examiner 4600 N Habana Ave, Suite 32, Tampa, FL 33614-7112 2011-07-26
1619268026 Genesis Physicians Group LLC Internal Medicine 4600 N Habana Ave, #27, Tampa, FL 33614-7112 2011-04-20
1285930123 Peggy Lynn Wallace Nurse Practitioner 4600 N Habana Ave, Suite 15, Tampa, FL 33614-7112 2011-02-09
1164728630 G. E. Vega, M. D., P. A. Specialist 4600 N Habana Ave, Suite 33, Tampa, FL 33614-7112 2011-02-01
1174828313 Dr Anthony A Fernandez Md Pa Clinic/Center 4600 N Habana Ave, Ste 16, Tampa, FL 33614-7112 2011-01-19
1114231347 Joseph G Sinkovics Md Pa Clinic/Center 4600 N Habana Ave, Suite 9, Tampa, FL 33614-7112 2010-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134733082 Robin Rollena Stewart Home Health 9537 Lazy Lane, Apt 302, Tampa, FL 33614 2020-09-08
1346885761 David Joseph Page Nurse Practitioner St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 2019-11-08
1134687411 Ramon Chang Adult Family Care Home LLC Custodial Care Facility 2607 W Humphrey St, Tampa, FL 33614 2019-03-06
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1306361266 Larry Valdes Assisted Living Facility 4402 W Minnehaha St, Tampa, FL 33614 2017-08-11
1982128062 Jaime F Casellas Md Corp Internal Medicine 4600 N Habana Ave Suit #13, Tampa, FL 33614 2017-07-31
1891219119 Waveney Gittens-williams Alzheimer Center (Dementia Center) 3706 W. Idle Wild Cir #203, Tampa, FL 33614 2017-07-28
1750811857 Syerita Nicole Morris Counselor 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 2017-06-13
1447786124 Lisa Moy Case Manager/Care Coordinator 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 2017-05-02
1750813804 Joshua Martin Good Physical Therapy Assistant 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 2017-03-29
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861852709 Suchithra Hirode Ph D LLC Specialist 9643 Gretna Green Drive, Tampa, FL 33626 2016-03-04
1134588247 Andrew Morath Specialist 2402 S 68th St, Tampa, FL 33619-5822 2016-02-17
1023412319 Total Md Orthopedics & Neurosurgery LLC Specialist 2700 W Martin Luther King Jr Blvd, Suite 250, Tampa, FL 33607-6383 2014-10-15
1700206000 Diane Murray Specialist 13803 N Florida Ave, Tampa, FL 33613-3230 2014-04-24
1043652357 Christina Maria Potter Specialist 97 Davis Blvd, Unit B, Tampa, FL 33606-4404 2013-07-28
1063851384 Julia Ruth Undella Specialist 7402 Park Dr, Tampa, FL 33610-1060 2013-06-19
1043658545 Roshni Patel Specialist 13441 Canopy Creek Dr, Tampa, FL 33625-5915 2013-06-06
1417293457 Chambers Medical Group Specialist 1802 E Busch Blvd, Tampa, FL 33612-8664 2012-12-19
1205188430 Shea Speights Specialist 103 W Hamilton Ave, Tampa, FL 33604-5420 2012-10-11
1700158847 Tracy Lashun Williams Specialist 18110 Palm Beach Drive, Tampa, FL 33647 2012-02-06
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Competitor

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City TAMPA
Zip Code 33614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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