Healthcare Provider Details

I. General information

NPI: 1851358782
Provider Name (Legal Business Name): EVE NORTON HANNA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD
TAMPA FL
33612-4745
US

IV. Provider business mailing address

10559 GREENSPRINGS DR
TAMPA FL
33626-1724
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax: 813-979-3628
Mailing address:
  • Phone: 813-926-4631
  • Fax: 813-979-3628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberME 84 102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: