Individual
DANIEL WILLIAM HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1680 SOUTHSIDE BLVD # 100, JACKSONVILLE, FL 32216-1924
(904) 722-2020
Mailing address
1680 SOUTHSIDE BLVD # 100, JACKSONVILLE, FL 32216-1924
(904) 722-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC6265
STATE LICENSE
FL
Enumeration date
07/03/2023
Last updated
07/03/2023
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