Individual
RAYMON HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
36503 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(727) 772-0800
(727) 255-5747
Mailing address
36503 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(727) 772-0800
(727) 255-5747
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO3900
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100411400
—
FL
01
—
100413300
MEDICAID GRP
FL
01
—
2207573
WELLCARE
FL
01
—
CZOFM
BCBS IND
FL
01
—
IY606Y
MEDICARE IND
FL
01
—
JN786
MEDICARE GRP
FL
01
—
O7PB8
BCBS GRP
FL
Enumeration date
06/17/2014
Last updated
03/07/2022
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