Provider Demographics
NPI:1427063841
Name:HAKALA, SHERYL MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:MARIE
Last Name:HAKALA
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:PO BOX 130308
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33681-0308
Mailing Address - Country:US
Mailing Address - Phone:813-503-7404
Mailing Address - Fax:
Practice Address - Street 1:2510 S MACDILL AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7218
Practice Address - Country:US
Practice Address - Phone:813-503-7404
Practice Address - Fax:866-316-5653
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 882172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry