Individual
DR. MAZEN B. HAMADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9400 TURKEY LAKE RD, ORLANDO, FL 32819-8001
(321) 843-5500
(321) 843-5550
Mailing address
3090 CARUSO CT STE 50, ORLANDO, FL 32806-8510
(407) 481-7179
(407) 481-7190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME71725
FL
208M00000X
Hospitalist Physician
Primary
ME71725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014758100
—
FL
01
—
32995
BCBS
FL
01
—
IE801S
MEDICARE HF
FL
Enumeration date
01/18/2006
Last updated
10/21/2020
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