Individual
DR. IRTIZA HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
655 W 8TH ST FL 4, JACKSONVILLE, FL 32209-6511
(904) 244-6761
(904) 244-4431
Mailing address
655 W 8TH ST FL 4, JACKSONVILLE, FL 32209-6511
(904) 244-6761
(904) 244-4431
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME151670
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN28121
FL
Other
Enumeration date
02/26/2019
Last updated
07/24/2025
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