Provider Demographics
NPI:1659862647
Name:HANA, CAROLINE KAMAL ABDELMESSIH (MD, MSC)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:KAMAL ABDELMESSIH
Last Name:HANA
Suffix:
Gender:F
Credentials:MD, MSC
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Mailing Address - Street 1:4302 RENAISSANCE WAY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426
Mailing Address - Country:US
Mailing Address - Phone:561-531-9699
Mailing Address - Fax:561-548-1572
Practice Address - Street 1:703 N FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1006
Practice Address - Country:US
Practice Address - Phone:703-283-4134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-24
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
FLTRN27669207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program