MEDICARE: DINA HAMMAD

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	207RR0500X	Rheumatology Physician	ME0164662	FL

General Provider Information

NPI Number	:	1821550401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINA HAMMAD

Provider Business Mailing Address
First Line	:	1600 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-3003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1549 GALE LEMERAND DR
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-3008
Country	:	US
Telephone Number	:	352-265-4846
Fax Number	:

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

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	06/22/2025

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Directions to “ DINA HAMMAD ” Practice Location

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