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Individual

MS. JOANNA Q HANNAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL 32714
(407) 587-8600
Mailing address
1361 BLACK WILLOW TRL # 1191, ALTAMONTE SPRINGS, FL 32714-1215
(407) 416-4555
(407) 329-7675

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3623
FL
363AM0700X
Medical Physician Assistant
PA 3623
FL

Other

Enumeration date
10/24/2006
Last updated
11/26/2018
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