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Organization
INTERNAL MEDICINE MD LLC
Active
Organization
INTERNAL MEDICINE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HANNA MD (OWNER)
(727) 605-3000
Entity
Organization
Contact information
Practice address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(727) 997-1635
(727) 232-6506
Mailing address
3633 LITTLE RD STE 103, TRINITY, FL 34655-1815
(727) 997-1635
(727) 232-6506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115462100
—
FL
Enumeration date
04/21/2025
Last updated
04/21/2025
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