Healthcare Provider Details

I. General information

NPI: 1528509866
Provider Name (Legal Business Name): AARON MICHAEL HANSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9441 HEALTH CENTER DRIVE
LAND O' LAKES FL
34637-3003
US

IV. Provider business mailing address

7039 TALAMORE DR
WESLEY CHAPEL FL
33545-3437
US

V. Phone/Fax

Practice location:
  • Phone: 813-903-3700
  • Fax: 813-615-8337
Mailing address:
  • Phone: 701-570-2984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME147300
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: