Healthcare Provider Details

I. General information

NPI: 1851112825
Provider Name (Legal Business Name): HASAN SAIED HULWI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HASAN SAIED HULWI M.D.

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 09/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2852 S TAMIAMI TRL STE 1
PORT CHARLOTTE FL
33952
US

IV. Provider business mailing address

2852 S TAMIAMI TRL STE 1
PORT CHARLOTTE FL
33952
US

V. Phone/Fax

Practice location:
  • Phone: 941-505-8720
  • Fax:
Mailing address:
  • Phone: 718-670-1507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME183613
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: