Individual
SHIRIN HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 S ORANGE AVE STE 100, ORLANDO, FL 32806-2946
(407) 650-7715
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME64918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257280000
—
FL
01
—
25882
BCBS
FL
Enumeration date
01/10/2007
Last updated
10/20/2011
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