Provider Demographics
NPI:1073156618
Name:HAMDAN, HANADY SAHER
Entity Type:Individual
Prefix:DR
First Name:HANADY
Middle Name:SAHER
Last Name:HAMDAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3664 MIDDLEBURG LN APT 208
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4550
Mailing Address - Country:US
Mailing Address - Phone:414-808-5259
Mailing Address - Fax:
Practice Address - Street 1:5590 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7303
Practice Address - Country:US
Practice Address - Phone:321-751-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60205183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist