Organization
GHASSAN HASAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHASSAN A HASAN MD (PRESIDENT)
(305) 803-8097
Entity
Organization
Contact information
Practice address
601 N FLAMINGO RD, SUITE 416, PEMBROKE PINES, FL 33028-1015
(954) 392-8990
(954) 392-8909
Mailing address
14510 SW 35TH ST, MIRAMAR, FL 33027-3748
(305) 803-8097
(954) 441-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94778
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276435100
—
FL
Enumeration date
04/22/2008
Last updated
10/17/2008
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