Amal Hanna M D P A | |
3170 N Federal Hwy Ste 212 Lighthouse Point FL 33064-6700 | |
(954) 943-0088 | |
Not Available |
Full Name | Amal Hanna M D P A |
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Speciality | Internal Medicine |
Location | 3170 N Federal Hwy, Lighthouse Point, Florida |
Authorized Official Name and Position | Amal Hanna (PRESIDENT) |
Authorized Official Contact | 9549430088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amal Hanna M D P A Po Box 386 Boca Raton FL 33429-0386 Ph: (954) 943-0088 | Amal Hanna M D P A 3170 N Federal Hwy Ste 212 Lighthouse Point FL 33064-6700 Ph: (954) 943-0088 |
NPI Number | 1023329703 |
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Provider Enumeration Date | 06/28/2010 |
Last Update Date | 06/28/2010 |
Medicare PECOS PAC ID | 9537292370 |
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Medicare Enrollment ID | O20100730000895 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023329703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME77207 (Florida) | Primary |
Provider Name | Amal Hanna |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891766408 PECOS PAC ID: 8426181272 Enrollment ID: I20100914000180 |
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