Individual
DR. MICHAEL CHRISTOPHER HANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 PLANTATION ISLAND DR S STE 220, SAINT AUGUSTINE, FL 32080-5174
(904) 223-3321
(904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224-0609
(904) 223-3321
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME121093
FL
Other
Enumeration date
04/20/2010
Last updated
09/28/2022
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