# GHASSAN HASAN MD PA

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

## Provider details

- **NPI number:** 1245404144
- **Authorized official:** GHASSAN A HASAN MD (PRESIDENT)
- **Authorized official phone:** (305) 803-8097

## Contact information

- **Practice address:** 601 N FLAMINGO RD, SUITE 416, PEMBROKE PINES, FL 33028-1015
- **Practice address phone:** (954) 392-8990
- **Practice address fax:** (954) 392-8909
- **Mailing address:** 14510 SW 35TH ST, MIRAMAR, FL 33027-3748
- **Mailing address phone:** (305) 803-8097
- **Mailing address fax:** (954) 441-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 94778 | FL | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 10/17/2008