MEDICARE: ROULA HAWASLI

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	363LF0000X	Family Nurse Practitioner	11003382	FL

General Provider Information

NPI Number	:	1043809270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROULA HAWASLI

Provider Business Mailing Address
First Line	:	2600 S DOUGLAS RD STE 308
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5035 E BUSCH BLVD STE 1AAND1B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-5310
Country	:	US
Telephone Number	:	813-988-4400
Fax Number	:

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

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	04/23/2025

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Directions to “ ROULA HAWASLI ” Practice Location

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