Organization
FARIS A. HANNA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIS A HANNA MD (PHYSICIAN/OWNER)
(954) 966-2133
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 675, HOLLYWOOD, FL 33021-5424
(954) 966-2133
(954) 961-0959
Mailing address
1150 N 35TH AVE, SUITE 675, HOLLYWOOD, FL 33021-5424
(954) 966-2133
(954) 961-0959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME56896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371017300
—
FL
Enumeration date
08/07/2012
Last updated
08/07/2012
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