MEDICARE: DANY HAJJAR MD PA

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	207R00000X	Internal Medicine Physician	ME91202	FL

General Provider Information

NPI Number	:	1417289661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANY HAJJAR MD PA

Provider Business Mailing Address
First Line	:	8211 HEDGEWOOD DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-1492
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8211 HEDGEWOOD DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-1492
Country	:	US
Telephone Number	:	904-613-3723
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANY G EL HAJJAR
Credential	:	MD
Telephone Number	:	904-613-3723

Provider Enumeration Date	:	02/12/2010
Last Update Date	:	06/20/2018

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