Individual provider · Type 1 NPI

Mary Rachel Hazan, PA

Medical Physician Assistant · Gainesville, FL

NPI number 1376598565 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Fax (352) 846-0387

Mailing address

PO Box 918025
Orlando, FL 32891-8025

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101614 (FL)
Surgical Physician Assistant 363AS0400XPA9101614 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1376598565

Mary Rachel Hazan, PA's National Provider Identifier is 1376598565, issued on May 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, FL. The record was last updated on Jun 2, 2009.