Organization
HASAN MEDICAL CENTER, PLC
Active
Other names
HASAN MEDICAL GROUP, PLC
Organization subpart
No
Provider details
NPI number
Authorized official
TARIK HASAN M.D. (DOCTOR)
(813) 600-9039
Entity
Organization
Contact information
Practice address
5420 WEBB RD STE B2, TAMPA, FL 33615-3255
(813) 868-6188
(813) 868-6189
Mailing address
5420 WEBB RD STE B2, TAMPA, FL 33615-3255
(813) 868-6188
(813) 868-6189
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME69066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378585800
—
FL
Enumeration date
09/20/2006
Last updated
12/06/2011
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