Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO3491 | FL |
Y | 222Z00000X | Podiatrist | PO3491 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO3491 | FL |
NPI | 1063659803 |
---|---|
Provider Name | Dr. Val Elbert Haddon II |
First Address | Tampa, FL 33609-4130 |
Second Address | St Petersburg, FL 33709-2105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2009 |
Last Update Date | 18/03/2013 |