Individual
DR. ADEY A A HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 829-8300
(904) 829-8310
Mailing address
PO BOX 1779, ST AUGUSTINE, FL 32085-1779
(904) 829-8300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME122715
FL
207RN0300X
Nephrology Physician
Primary
ME122715
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2011
Last updated
08/05/2020
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