Organization
HANSEN FAMILY MEDICINE LLC
Active
Organization
HANSEN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE L HANSEN D.O. (OWNER)
(352) 307-1350
Entity
Organization
Contact information
Practice address
15151 S US HIGHWAY 441, SUITE 300, SUMMERFIELD, FL 34491-4482
(352) 307-1350
Mailing address
15151 S US HIGHWAY 441, SUITE 300, SUMMERFIELD, FL 34491-4482
(352) 307-1350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS8012
FL
Other
Enumeration date
03/16/2015
Last updated
03/23/2015
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