Individual
ERIC JACOB HASSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
Mailing address
651 E 25TH ST, HIALEAH, FL 33013-3878
(301) 219-2852
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS17788
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
08/31/2025
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