# DR HANNA OBGYN OF SO FLA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194085407
- **Authorized official:** DR. FARIS HANNA (PRESIDENT)
- **Authorized official phone:** (954) 966-2133

## Contact information

- **Practice address:** 1150 N 35TH AVE, SUITE 675, HOLLYWOOD, FL 33021-5424
- **Practice address phone:** (954) 966-2133
- **Practice address fax:** (954) 961-0959
- **Mailing address:** 1150 N 35TH AVE, SUITE 675, HOLLYWOOD, FL 33021-5424
- **Mailing address phone:** (954) 966-2133
- **Mailing address fax:** (954) 961-0959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME56896 | FL | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 05/21/2012