DR. ROBERT J. HANNUM D.O. NPI 1700943008

NPI Information

NPI: 1700943008
Provider Name: DR. ROBERT J. HANNUM, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3450 PALENCIA DR APT 1004
TAMPA, FL
ZIP 33618
Phone: (813) 610-4942
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DR. Robert J. Hannum, D.O. is a general practice in Tampa, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Robert J. Hannum, D.O. NPI is 1700943008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3450 PALENCIA DR APT 1004
TAMPA, FL
ZIP 33618-850
Phone: (813) 610-4942

The enumeration date for this NPI number is 1/3/2007 and was last updated on 11/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		FL050005604	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	80164	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	80164	MEDICARE UPIN	FLORIDA
3	062628700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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