M. MICHAEL HANNA, DO, PA
Ambulatory Health at Flagler Dr, West Palm Beach, FL

License number
Florida OS6942
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. MOUSA MICHAEL HANNA D.O.
Title: PHYSICIAN
Phone: (561) 659-6023
Address
Address
1411 N Flagler Dr SUITE 6300, West Palm Beach, FL 33401
National Provider ID: 1790183226
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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M. MICHAEL HANNA, D.O., PA

1411 N Flagler Dr SUITE 6300, West Palm Beach, FL 33401

Status:
Inactive
Doing business as:
M Michael Hanna Do
Inactive reason:
NAME CHANGE AMENDMENT
Registration:
Mar 10, 1999
Inactive since:
Jan 27, 2003
Phone:
(561) 659-6023 (Phone)
State ID:
P99000031481
Business type:
Florida Profit Corporation
Presidents:
M. Michael D Hanna (President),M. Michael D.o. Hanna President, inactive, 1411 N Flagler Dr, West Palm Beach, FL 33401 (Physical)
Agent:
Hanna, Homer,1711 Nature Ct, Palm Beach Gardens, FL 33410 (Physical)
EIN:
65-0899172

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