Individual
DANA HASSNEIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE FL 33136, MIAMI, FL 33136-1005
(305) 812-6821
Mailing address
1611 NW 12TH AVE FL 33136, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29515
FL
207R00000X
Internal Medicine Physician
35919
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/22/2019
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