Provider Demographics
NPI:1801805130
Name:HASELTINE, FLORENCE PAT (MD)
Entity type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:PAT
Last Name:HASELTINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2181 JAMIESON AVE
Mailing Address - Street 2:1606
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-5747
Mailing Address - Country:US
Mailing Address - Phone:703-566-7390
Mailing Address - Fax:
Practice Address - Street 1:2181 JAMIESON AVE
Practice Address - Street 2:1606
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5747
Practice Address - Country:US
Practice Address - Phone:703-566-7390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056670207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology