MEDICARE: SARAH MAZIN DHANNOON DHANNOON MD

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	208M00000X	Hospitalist Physician	036145596	IL
2	207RP1001X	Pulmonary Disease Physician	ME170037	FL
3	207R00000X	Internal Medicine Physician	036145596	IL

General Provider Information

NPI Number	:	1396132080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MAZIN DHANNOON DHANNOON MD

Provider Business Mailing Address
First Line	:	900 HOPE WAY
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1502
Country	:	US
Telephone Number	:	407-357-8192
Fax Number	:	407-357-1679

Provider Business Practice Location Address
First Line	:	265 E ROLLINS ST STE 5
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5502
Country	:	US
Telephone Number	:	407-821-3588
Fax Number	:	407-821-3589

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

Provider Enumeration Date	:	04/20/2015
Last Update Date	:	01/19/2026

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