Individual
FARES A. HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 N 35TH AVE, 675, HOLLYWOOD, FL 33021-5424
(954) 966-2133
(954) 961-0959
Mailing address
1150 N 35TH AVE STE 675, HOLLYWOOD, FL 33021-5472
(954) 966-2133
(954) 961-0959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME56896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371017300
—
FL
01
—
ME56896
STATE
FL
Enumeration date
09/20/2006
Last updated
09/23/2024
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