Organization
HASSANEIN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSAM M. HASSANEIN M.D. (PRESIDENT)
(772) 323-2461
Entity
Organization
Contact information
Practice address
437 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 323-2461
(772) 323-2462
Mailing address
437 NW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8731
(772) 323-2461
(772) 323-2462
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME68679
FL
Other
Enumeration date
04/02/2007
Last updated
09/27/2007
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