Provider Demographics
NPI:1174901177
Name:DORSEY, HAZEL BARBARA (MS, ARNP, AGNP-C)
Entity type:Individual
Prefix:MS
First Name:HAZEL
Middle Name:BARBARA
Last Name:DORSEY
Suffix:
Gender:F
Credentials:MS, ARNP, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7443 CITRUS BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34637-7466
Mailing Address - Country:US
Mailing Address - Phone:813-480-4048
Mailing Address - Fax:
Practice Address - Street 1:3617 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5713
Practice Address - Country:US
Practice Address - Phone:844-665-4827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2061962363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health