Provider Demographics
NPI:1235131830
Name:HANNA, MAHER Z (MD)
Entity type:Individual
Prefix:DR
First Name:MAHER
Middle Name:Z
Last Name:HANNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5362 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-4562
Mailing Address - Country:US
Mailing Address - Phone:352-688-3101
Mailing Address - Fax:352-688-8713
Practice Address - Street 1:700 SE TERRACE ST. #5
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-4875
Practice Address - Country:US
Practice Address - Phone:352-795-8815
Practice Address - Fax:352-564-1090
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME93946207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2772370000Medicaid
FLU5729XMedicare PIN
FLI40384Medicare UPIN
FL2772370000Medicaid