JUSTITIA HADDAD
NPI 1477801108
Specialist in Bradenton, FL

Active since August 28, 2012
4312 55TH AVE DRIVE EAST, BRADENTON, FL 34203(941) 962-3312 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Justitia Haddad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTITIA HADDAD (NPI 1477801108) is a healthcare organization registered as a specialist in Bradenton, Florida and active in the NPI registry since August 2012. The organization lists Justitia Haddad, Cota, as its authorized official.

NPPES Registry Identity

NPI1477801108
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJUSTITIA HADDAD
Location Address4312 55TH AVE DRIVE EASTBradenton, FL 34203
Mailing Address4312 55th Ave Drive EastBradenton, FL 34203 · (941) 962-3312
Organization SubpartNo
Authorized OfficialJustitia HaddadCota · (941) 962-3312
Enumeration DateAugust 28, 2012
NPI 1477801108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · OTA 10758
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4312 55TH AVE DRIVE EAST, Bradenton, FL 34203

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477801108, enumerated as an "organization" on August 28, 2012.

The provider is located at 4312 55TH AVE DRIVE EAST BRADENTON, FL 34203 and the phone number is (941) 962-3312.

Specialist with taxonomy code 174400000X.