Individual
MIAN A HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 N PALM AVE STE 101, PEMBROKE PINES, FL 33026-3240
(954) 436-6660
(954) 436-6655
Mailing address
1601 N PALM AVE STE 101, PEMBROKE PINES, FL 33026-3240
(954) 436-6660
(954) 436-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME80305
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME80305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269233302
—
FL
Enumeration date
04/18/2006
Last updated
01/20/2025
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