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Individual

MR. ROBERT L. HANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 S.W. 62 AVENUE, CARDIOVASCULAR DEPT., MIAMI, FL 33155-3009
(305) 663-8401
(305) 669-6574
Mailing address
PO BOX 557367, MIAMI, FL 33255
(786) 624-5845
(786) 624-5881

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME76954
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255205100
FL
Enumeration date
10/06/2006
Last updated
09/24/2008
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