Individual
DR. NASIR HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-3747
(321) 268-6111
(321) 268-6360
Mailing address
805 CENTURY MEDICAL DRIVE, CREDENTIALING OFFICE, TITUSVILLE, FL 32796-3747
(321) 268-6264
(321) 724-8749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME75157
FL
208M00000X
Hospitalist Physician
Primary
ME75157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275900400
—
FL
Enumeration date
05/04/2006
Last updated
06/14/2016
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