Issa, Hani

Issa, Hani is an individual health care provider with primary practice located at 2 Pavillon Place , Penny Farms FL 32079. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Issa, Hani can be contacted via phone (904) 388-3351.

Contact Information

Primary practice address
2 Pavillon Place Penny Farms FL 32079
Phone: (904) 388-3351
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125050623 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME133628 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME133628 Florida

Profile Details

NPI number 1619144045
LBN Legal business name Issa, Hani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Aug 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619144045 NPPES
Florida Other ME133628 MEDICAL LICENSE

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