Marianne Hazelitt DO Professional Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS12016 Issued in FL

Legal business name

MARIANNE HAZELITT DO PROFESSIONAL ASSOCIATION

Practice address

4181 Soundside Dr # B
None
Gulf Breeze, FL 32563-9134

Phone

(310) 408-0227

NPI assigned

Jun 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marianne Hazelitt, DO

Title

President

Phone

(310) 408-0227

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1336551969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 SOUNDSIDE DR # B",
            "address_2": "NONE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639134",
            "telephone_number": "310-408-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 SOUNDSIDE DR # B",
            "address_2": "NONE",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639134",
            "telephone_number": "310-408-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNE HAZELITT DO PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "HAZELITT",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-408-0227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Christopher Mai, M.D.
• Maitri Counseling Center, LLC
• Tera Marie Malarik, LAT, ATC
• Evetha Malcolm-Theriault, RD
• Tiffany Rose Marcum, OTR/L
• Marshall Mediation & Consultant, Inc.
• Marta Jacenyik LLC
• Dale L. Martin, CRNA
• Julieann N Massa
• Massage by Micah LLC

• Internal Medicine Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.