| M. Michael Hanna, Do, Pa | |
|
1411 N Flagler Dr Suite 6300 West Palm Beach FL 33401-3404 | |
| (561) 659-6023 | |
| (561) 659-6025 |
| Full Name | M. Michael Hanna, Do, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1411 N Flagler Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Mousa Michael Hanna (PHYSICIAN) |
| Authorized Official Contact | 5616596023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Michael Hanna, Do, Pa 1411 N Flagler Dr Suite 6300 West Palm Beach FL 33401-3404 Ph: (561) 659-6023 | M. Michael Hanna, Do, Pa 1411 N Flagler Dr Suite 6300 West Palm Beach FL 33401-3404 Ph: (561) 659-6023 |
| NPI Number | 1790183226 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 12/16/2014 |
| Medicare PECOS PAC ID | 8527341437 |
|---|---|
| Medicare Enrollment ID | O20170218000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790183226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS6942 (Florida) | Primary |
| Provider Name | Mousa M Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003885500 PECOS PAC ID: 1850330184 Enrollment ID: I20050427000167 |
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