Raed Abdula Hattab, MD | |
182 E Redstone Ave Ste A, Crestview, FL 32539-5371 | |
(855) 527-7246 | |
(866) 229-5063 |
Full Name | Raed Abdula Hattab |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
Location | 182 E Redstone Ave Ste A, Crestview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497701718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME148257 (Florida) | Primary |
Entity Name | Gulf Coast Pain Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669712287 PECOS PAC ID: 1658516570 Enrollment ID: O20130326000183 |
Mailing Address | Practice Location Address |
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Raed Abdula Hattab, MD 350 Se 2nd St, Ste 1640, Fort Lauderdale, FL 33301-1919 Ph: (305) 772-0347 | Raed Abdula Hattab, MD 182 E Redstone Ave Ste A, Crestview, FL 32539-5371 Ph: (855) 527-7246 |
Dr. Amir Ahmadian, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 210 S Main St, Crestview, FL 32536 Phone: 850-226-6801 | |
John Anthony Grossi, PHYSICAL THERAPIST Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2706 Ashley Maria Ct, Crestview, FL 32539 Phone: 850-217-6589 | |
Devin O'hara, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 182 E Redstone Ave Ste A, Crestview, FL 32539 Phone: 855-527-7246 Fax: 866-229-5063 |