Organization
SAMIR K. HANNA & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE N. HANNA (OFFICE MANAGER)
(904) 384-5571
Entity
Organization
Contact information
Practice address
5435 ORTEGA BLVD STE 1, JACKSONVILLE, FL 32210-8435
(904) 384-5571
(904) 384-0877
Mailing address
5435 ORTEGA BLVD STE 1, JACKSONVILLE, FL 32210-8435
(904) 384-5571
(904) 384-0877
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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