Justitia Haddad

NPI #1477801108 in Bradenton, Florida

Provider Information

NPI Number: 1477801108
Entity Type: Organization
Organization Name: Justitia Haddad
Primary Specialty: Specialist
Enumeration Date: Aug 28, 2012
Last Updated: Aug 28, 2012

Practice Location

Address: 4312 55TH AVE DRIVE EAST
City: Bradenton
State: Florida
ZIP Code: 34203
Phone: (941) 962-3312

Authorized Official

Name: JUSTITIA HADDAD
Title: COTA
Phone: (941) 962-3312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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