Hagen, Karl Matthew

Hagen, Karl Matthew is an individual health care provider with primary practice located at 600 Se 2Nd Ct Suite 1144, Fort Lauderdale FL 33301-3621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Hagen, Karl Matthew can be contacted via phone (954) 703-6038.

Contact Information

Primary practice address
600 Se 2Nd Ct Suite 1144 Fort Lauderdale FL 33301-3621
Phone: (954) 703-6038
Fax: (954) 703-6037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X ME78524 Florida

Profile Details

NPI number 1033185848
LBN Legal business name Hagen, Karl Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033185848 NPPES
Florida MEDICAID 257887500
Florida Other 47258

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