MEDICARE: HANH METTS PA-C

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	363AM0700X	Medical Physician Assistant	PA9105233	FL

General Provider Information

NPI Number	:	1538497771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANH METTS PA-C

Provider Business Mailing Address
First Line	:	8711 PERIMETER PARK BLVD
Second Line	:	SUITE 6
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-6388
Country	:	US
Telephone Number	:	904-425-4356
Fax Number	:	904-425-4356

Provider Business Practice Location Address
First Line	:	5355 RED BUG LAKE RD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4909
Country	:	US
Telephone Number	:	321-304-3300
Fax Number	:	321-304-3287

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

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	06/10/2016

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