Provider Demographics
NPI:1801030820
Name:HANSON HEALTH CARE ENTERPRISES INC.
Entity Type:Organization
Organization Name:HANSON HEALTH CARE ENTERPRISES INC.
Other - Org Name:HANSON WELLNESS STUDIO
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-749-8940
Mailing Address - Street 1:3970 TAMPA RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3201
Mailing Address - Country:US
Mailing Address - Phone:813-749-8940
Mailing Address - Fax:813-749-8944
Practice Address - Street 1:3970 TAMPA RD
Practice Address - Street 2:SUITE D
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3201
Practice Address - Country:US
Practice Address - Phone:813-749-8940
Practice Address - Fax:813-749-8944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8871261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service