Provider Demographics
NPI:1033325345
Name:FLORIDA, HANNAH HUBAHIB (MD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:HUBAHIB
Last Name:FLORIDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ELMA
Other - Last Name:HUBAHIB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:604 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7503
Practice Address - Country:US
Practice Address - Phone:252-744-6683
Practice Address - Fax:252-744-9617
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT187450208100000X
VA0101248468208100000X
NC2017-00598208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC19RFWOtherBCBS OF NC
NC1033325345Medicaid
NCNCY906AOtherMEDICARE