Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO3969 | FL |
NPI | 1023465903 |
---|---|
Provider Name | Dr. Peter H Hanna |
First Address | Homestead, FL 33033-6619 |
Second Address | Coral Gables, FL 33134-5736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2016 |
Last Update Date | 26/03/2019 |