Hazan, Mary Rachel

Hazan, Mary Rachel is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Hazan, Mary Rachel can be contacted via phone (352) 846-0372.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 846-0372
Fax: (352) 846-0387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101614 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101614 Florida

Profile Details

NPI number 1376598565
LBN Legal business name Hazan, Mary Rachel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jun 2nd, 2009 - about 17 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 1376598565 NPPES
Florida MEDICAID 292831100

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