Jerry Leo Hedrick, MD

Dermatology Physician · Brandon, FL

Individual Active NPI

NPI number 1164457412

Practice location

500 Vonderburg Drive
Ste 115w
Brandon, FL 33511-5969
Phone
(813) 685-0306
Fax
(813) 651-1026

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NPI record

NPI
1164457412
Entity type
Individual (Type 1)
Enumeration date
July 12, 2006
Last updated
November 6, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X ME38730 FL

Mailing address

4651 Van Dyke Rd
Lutz, FL 33558-4880
Phone
(813) 321-1786
Fax
(813) 321-1787

Other practice locations (1)

  • 13009 Summerfield Square Dr, Riverview, FL 33578-7402 · (813) 321-1786

About Dr. Hedrick

Jerry Leo Hedrick, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 500 Vonderburg Drive, Ste 115w, Brandon, FL 33511-5969. The NPI number 1164457412 was assigned on July 12, 2006 and the record was last updated on November 6, 2019.

Dr. Hedrick lists a license in the registry: #ME38730 (FL) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Leo Hedrick, MD?

The NPI number is 1164457412.

What is the phone number of Dr. Hedrick?

The phone number listed for the practice location is (813) 685-0306.

Where is Dr. Hedrick located?

500 Vonderburg Drive, Ste 115w, Brandon, FL 33511-5969.

What is the taxonomy code for Dr. Hedrick?

The primary taxonomy code is 207N00000X – Dermatology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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