| Fhasan Llc | |
|
1812 Dunlawton Ave Ste 101 Port Orange FL 32127-2925 | |
| (386) 233-3040 | |
| Not Available |
| Full Name | Fhasan Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1812 Dunlawton Ave Ste 101, Port Orange, Florida |
| Authorized Official Name and Position | Farah Hasan (OWNER) |
| Authorized Official Contact | 3862333040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhasan Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Fhasan Llc 1812 Dunlawton Ave Ste 101 Port Orange FL 32127-2925 Ph: (386) 233-3040 |
| NPI Number | 1255909198 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255909198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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