Provider Demographics
NPI:1508067737
Name:HASSINE, OUADI (DC)
Entity Type:Individual
Prefix:
First Name:OUADI
Middle Name:
Last Name:HASSINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 E VINE ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-3546
Mailing Address - Country:US
Mailing Address - Phone:407-344-4242
Mailing Address - Fax:407-344-4243
Practice Address - Street 1:1214 E VINE ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-3546
Practice Address - Country:US
Practice Address - Phone:407-344-4242
Practice Address - Fax:407-344-4243
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor