| Hechtman Surgical Llc | |
|
505 Oakfield Dr Brandon FL 33511-5700 | |
| (813) 676-2273 | |
| (813) 654-1384 |
| Full Name | Hechtman Surgical Llc |
|---|---|
| Speciality | General Practice |
| Location | 505 Oakfield Dr, Brandon, Florida |
| Authorized Official Name and Position | Linda S. Mayo (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8136762273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hechtman Surgical Llc 505 Oakfield Dr Brandon FL 33511-5700 Ph: (813) 676-2273 | Hechtman Surgical Llc 505 Oakfield Dr Brandon FL 33511-5700 Ph: (813) 676-2273 |
| NPI Number | 1811023906 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 01/05/2016 |
| Medicare PECOS PAC ID | 9032180187 |
|---|---|
| Medicare Enrollment ID | O20040803001149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811023906 | NPI | - | NPPES |
| 003183400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 87506 (Florida) | Primary |
| Provider Name | Jason M Hechtman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245229574 PECOS PAC ID: 1557332608 Enrollment ID: I20040804000440 |
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