Individual
DR. AHMED A. HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8960 COLONIAL CENTER DR, SUITE 206, FORT MYERS, FL 33905-7809
(239) 343-9560
(239) 343-9624
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1449
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301032214
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME0030650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H262390
BLUE CROSS-BLUE CROSS
—
05
—
322340210
—
MI
01
—
AH032214
CHAMPUS-CHAMPUS
—
Enumeration date
12/08/2006
Last updated
05/07/2015
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