JUSTITIA HADDAD NPI 1477801108

NPI Information

JUSTITIA HADDAD is a specialist in Bradenton, FL. The provider is 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. JUSTITIA HADDAD NPI is 1477801108. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4312 55TH AVE DRIVE EAST
BRADENTON, FL
ZIP 34203
Phone: (941) 962-3312

The provider's authorized official is Justitia Haddad .
The authorized official title is Cota and has the following contact phone number (941) 962-3312.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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