Individual
FADY HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4211 VAN DYKE RD, LUTZ, FL 33558-8005
(918) 599-1000
Mailing address
5085 NIGHT STAR TRL, ODESSA, FL 33556-4576
(727) 858-0860
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS17387
FL
Other
Enumeration date
03/01/2017
Last updated
06/12/2023
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