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Organization
NOSSHEY F HANNA MD PA
Active
Organization
NOSSHEY F HANNA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSSHEY FAWZI HANNA M.D. (MEDICAL DOCTOR/PHYSICIAN)
(904) 268-8460
Entity
Organization
Contact information
Practice address
4010 SUNBEAM RD, JACKSONVILLE, FL 32257-6026
(904) 268-8460
(904) 268-9809
Mailing address
4010 SUNBEAM RD, JACKSONVILLE, FL 32257-6026
(904) 268-8460
(904) 268-9809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0043781
FL
207R00000X
Internal Medicine Physician
ME0043781
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10990
BCBS-MCR PROVIDER #
FL
Enumeration date
07/26/2010
Last updated
09/01/2010
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