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1538149422

NPI Code Detail

MEDICARE: DR. MAZEN B. HAMADEH MD

MEDICARE: DR. MAZEN B. HAMADEH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME71725	FL
2	208M00000X	Hospitalist Physician	ME71725	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	IE801S	OTHER	FL	MEDICARE HF

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32995	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538149422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAZEN B. HAMADEH MD

Provider Business Mailing Address
First Line	:	3090 CARUSO CT STE 50
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-8510
Country	:	US
Telephone Number	:	407-481-7179
Fax Number	:	407-481-7190

Provider Business Practice Location Address
First Line	:	9400 TURKEY LAKE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8001
Country	:	US
Telephone Number	:	321-843-5500
Fax Number	:	321-843-5550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	10/21/2020

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Directions to “ DR. MAZEN B. HAMADEH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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