HASSANEIN CLINIC INC (NPI# 1740301456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740301456 |
| Entity Type | Organization |
| Organization Name | HASSANEIN CLINIC INC |
| Practice Address |
437 Nw Prima Vista Blvd Port St Lucie FL 34983-8731 |
| Practice Telephone | 7723232461 |
| Practice Fax Number | 7723232462 |
| Mailing Telephone | 7723232461 |
| Mailing Fax Number | 7723232462 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | DR. HOSSAM M. HASSANEIN (PRESIDENT) |
| Authorized Official Telephone | 7723232461 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME68679 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773968 | Hassanein Clinic Inc | Family Medicine | 1607 Nw Federal Hwy, Suite B, Stuart, FL 34994-9600 | 2005-10-11 |
| Street Address |
437 NW PRIMA VISTA BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34983-8731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224109 | Skytop Transportation Inc | Non-emergency Medical Transport (VAN) | 6947 Nw Daffodil Ln, Port Saint Lucie, FL 34983 | 2019-06-17 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| 1275032252 | Charlotte Simpkins | Nurse's Aide | 462 Se Faith Terrace, Port Saint Lucie, FL 34983 | 2018-02-06 |
| 1124547989 | Alicia Maria Herrero Marzo | Case Manager/Care Coordinator | 749 Nw Orchid St, Port St Lucie, FL 34983 | 2017-09-13 |
| 1922535137 | Superior Living 'llc' | Assisted Living Facility | 496 Southeast Verada, Port St Lucie, FL 34983 | 2017-05-18 |
| 1760931562 | Lisa A Joseph | Registered Nurse | 1602 Se Sandia Dr, Psl, FL 34983 | 2016-09-22 |
| 1891146270 | Janet Bayramyan | Counselor | 453 Nw Dover Ct, Port St Lucie, FL 34983 | 2016-06-27 |
| 1033565650 | Jennifer J Ramos | Physician Assistant | 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 | 2016-05-12 |
| 1659741379 | Amy Mae Dipalma | Physical Therapy Assistant | 5238 Nw Rugby Dr, Port St Lucie, FL 34983 | 2015-10-07 |
| 1942682406 | Vikash Dahya | Dentist | 499 Sw Prima Vista Blvd, Port St. Lucie, FL 34983 | 2015-06-22 |
| Find all providers in zip 34983 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1831477553 | Treasure Coast Medical and Holistic Care, LLC | Clinic/Center | 1255 Sw Curry Street, Port St Lucie, FL 34983-2509 | 2011-07-29 |
| 1962707174 | Sudhir K Nayer Md & Assoc Pa | Clinic/Center | 8501 S Us Highway 1, Suite 10, Port St Lucie, FL 34952-3346 | 2011-01-19 |
| 1235674441 | Treasure Coast Healthcare Associates,llc | Clinic/Center | 6989 Hancock Dr, Port St Lucie, FL 34952-8207 | 2016-12-23 |
| 1073962114 | Live Young Pllc | Clinic/Center | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986-1927 | 2016-06-09 |
| 1952611352 | Executive Healthcare, Inc. | Clinic/Center | 1700 Se Hillmoor Dr, Port St Lucie, FL 34952-7539 | 2010-10-19 |
| 1962677260 | Absolute Healthcare Advanced Chiropractic P A | Clinic/Center | 1973 Sw Savage Blvd, 111, Port St Lucie, FL 34953-2791 | 2008-04-28 |
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| City | PORT ST LUCIE |
| Zip Code | 34983 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.