Individual
JAN MARIAN HASYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-8545
Mailing address
3700 S.W. 130 AVE., MIRAMAR, FL 33027
(954) 443-6720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9100621
FL
Other
Enumeration date
07/19/2006
Last updated
07/09/2007
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