Theodoros Hailu
Emergency Physician
5000 W Oakland Park Blvd
Lauderdale Lakes
, Florida 33313-1503
Theodoros Hailu
Emergency Physician
5000 W Oakland Park Blvd
Lauderdale Lakes
, Florida 33313-1503
(800) 514-1494
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Theodoros Hailu
- Po Box 863481
- Orlando, FL
- Zip : 32886-3481
- Phone : (800) 514-1494
Second Address
- Theodoros Hailu
- 5000 W Oakland Park Blvd
- Lauderdale Lakes, FL
- Zip : 33313-1503
- Phone : (954) 730-2750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | ME0089942 | FL |
National Provider Identifier
| NPI | 1003880774 |
|---|---|
| Provider Name | Theodoros Hailu |
| First Address | Orlando, FL 32886-3481 |
| Second Address | Lauderdale Lakes, FL 33313-1503 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 09/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 270988100 | (05) | FL |
| 50653 | BCBS (01) | FL |
| H81488 | (02) | FL |
| P00290620 | RR MCR (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.