Provider Demographics
NPI:1154360139
Name:ALNUAIMAT, HASSAN MARI (MD)
Entity type:Individual
Prefix:DR
First Name:HASSAN
Middle Name:MARI
Last Name:ALNUAIMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HASSAN
Other - Middle Name:MARI
Other - Last Name:ALNUAIMAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 918025
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-8020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER ROAD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-392-2666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91231207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03447Medicare ID - Type Unspecified
G44442Medicare UPIN
03447ZMedicare PIN