Organization
SOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC
Active
Organization
SOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER HANY HANNA DPM (OWNER/CEO)
(973) 900-1198
Entity
Organization
Contact information
Practice address
475 BILTMORE WAY STE 205, CORAL GABLES, FL 33134-5736
(833) 735-3668
(866) 897-7014
Mailing address
8950 SW 74TH CT STE 1408, MIAMI, FL 33156-3173
(833) 735-3668
(866) 897-7014
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
12/13/2022
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