Provider Demographics
NPI:1912679218
Name:HAMANN, JOSHUA ANDREW (PA-C)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ANDREW
Last Name:HAMANN
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1734 SUMMER ROSE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32757-2844
Mailing Address - Country:US
Mailing Address - Phone:561-670-1683
Mailing Address - Fax:
Practice Address - Street 1:1734 SUMMER ROSE DR
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-2844
Practice Address - Country:US
Practice Address - Phone:561-670-1683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant