Individual
DR. JOSEPH HASAN HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 S ANDREWS AVE FL 3, FORT LAUDERDALE, FL 33316-2509
(954) 320-3380
(954) 320-3371
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 320-3380
(954) 320-3371
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME114299
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003128529A
—
GA
05
—
006746300
—
FL
01
—
14ML9
BCBS
FL
Enumeration date
06/19/2008
Last updated
07/26/2022
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