| Nosshey F Hanna Md Pa | |
|
4010 Sunbeam Rd Jacksonville FL 32257-6026 | |
| (904) 268-8460 | |
| (904) 268-9809 |
| Full Name | Nosshey F Hanna Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4010 Sunbeam Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Nosshey Fawzi Hanna (MEDICAL DOCTOR/PHYSICIAN) |
| Authorized Official Contact | 9042688460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nosshey F Hanna Md Pa 4010 Sunbeam Rd Jacksonville FL 32257-6026 Ph: (904) 268-8460 | Nosshey F Hanna Md Pa 4010 Sunbeam Rd Jacksonville FL 32257-6026 Ph: (904) 268-8460 |
| NPI Number | 1700199221 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700199221 | NPI | - | NPPES |
| 10990 | Other | FL | BCBS-MCR PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0043781 (Florida) | Primary |
| 207R00000X | Internal Medicine | ME0043781 (Florida) | Secondary |
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