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Contact Information

KIERSTEN R HARTLAGE, MD
5259 VILLAGE MARKET
WESLEY CHAPEL, FL33544
 Phone: 813-973-0333
 Fax: 813-973-2313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIERSTEN R HARTLAGE · (Female)

NPI # 1811151780
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2008
Last updated 07/08/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME106588
  • FL Medicaid 003808200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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