BENJAMIN A HAGENDORF
Physician at 9 St, Saint Petersburg, FL

License number
Florida 4000
Issued Date
Oct 3, 2000
Effective Date
Oct 11, 2002
Expiration Date
Oct 3, 2002
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
9100 9Th St N, Saint Petersburg, FL 33702
12901 Bruce B Downs Blvd , Mdc, Tampa, FL 33612

Personal information

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Name
Address
Phone
Benjamin A Hagendorf, age 49
8310 48Th St, Fort Lauderdale, FL 33351
(954) 742-4850