Individual
ELISSA HACHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 974-2201
Mailing address
208 AVONDALE AVE, TRAIL CREEK, IN 46360-5734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
04/01/2026
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