Provider Demographics
NPI:1053345702
Name:HANNA, SABRINA FRANCINE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:FRANCINE
Last Name:HANNA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 BRICKELL AVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2403
Mailing Address - Country:US
Mailing Address - Phone:305-377-0067
Mailing Address - Fax:
Practice Address - Street 1:444 BRICKELL AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2403
Practice Address - Country:US
Practice Address - Phone:305-377-0067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102749174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q38174Medicare UPIN