Provider Demographics
NPI:1437156759
Name:HASSUN, ARMANDO LUIS JR (DO)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:LUIS
Last Name:HASSUN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 BILTMORE WAY
Mailing Address - Street 2:STE 201
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5757
Mailing Address - Country:US
Mailing Address - Phone:305-442-1001
Mailing Address - Fax:305-442-1003
Practice Address - Street 1:555 BILTMORE WAY
Practice Address - Street 2:STE 201
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5757
Practice Address - Country:US
Practice Address - Phone:305-442-1001
Practice Address - Fax:305-442-1003
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6635207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57342OtherMEDICARE PTAN
FL379742200Medicaid
G29200Medicare UPIN