| Morris R Hanan Md Pa | |
|
508 S Habana Ave Suite 260 Tampa FL 33609-4181 | |
| (813) 876-9191 | |
| (813) 876-3103 |
| Full Name | Morris R Hanan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 508 S Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Morris Hanan (PHYSICIAN) |
| Authorized Official Contact | 8138769191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris R Hanan Md Pa 508 S Habana Ave Suite 260 Tampa FL 33609-4181 Ph: (813) 876-9191 | Morris R Hanan Md Pa 508 S Habana Ave Suite 260 Tampa FL 33609-4181 Ph: (813) 876-9191 |
| NPI Number | 1144553587 |
|---|---|
| Provider Enumeration Date | 09/17/2009 |
| Last Update Date | 05/04/2010 |
| Medicare PECOS PAC ID | 4587793005 |
|---|---|
| Medicare Enrollment ID | O20100521000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144553587 | NPI | - | NPPES |
| 065008100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME36666 (Florida) | Primary |
| Provider Name | Morris Hanan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770576076 PECOS PAC ID: 0648309161 Enrollment ID: I20100521000326 |
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