Organization Name: | HECHTMAN SURGICAL LLC |
NPI Number: | 1811023906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA S. MAYO (DIRECTOR OF OPERATIONS) |
Mailing Address: | 505 Oakfield Dr Brandon |
State: | FL US |
Postal Code: | 335115700 |
Phone Number: | 8136762273 |
Fax Number: | 8136541384 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 87506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |