Individual
MONWARA HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 RHODE ISLAND AVE, SUITE A, FORT PIERCE, FL 34947-4771
(772) 489-4001
(772) 489-8411
Mailing address
2721 SE NORTH LOOKOUT BLVD, PORT ST LUCIE, FL 34984-6108
(914) 373-8198
(772) 489-8411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
221851
NY
208100000X
Physical Medicine & Rehabilitation Physician
ME119146
FL
Other
Enumeration date
07/19/2006
Last updated
06/16/2016
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