Individual
ISSA HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 PRUDENTIAL DR STE 1130, JACKSONVILLE, FL 32207-8331
(904) 633-4199
(904) 633-4188
Mailing address
11469 JOHN DORY WAY, JACKSONVILLE, FL 32223-7373
(904) 704-9192
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME149451
FL
208000000X
Pediatrics Physician
TRN26245
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
11/13/2023
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