Organization
JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REHAM HASAN M.D. (OWNER)
(904) 388-3351
Entity
Organization
Contact information
Practice address
9191 R G SKINNER PKWY, JACKSONVILLE, FL 32256-9655
(904) 388-3351
Mailing address
13842 HARBOR CREEK PL, JACKSONVILLE, FL 32224-6895
(904) 388-3351
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/27/2017
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