Provider Demographics
NPI:1023061660
Name:HANNER, CHRISTOPHER N (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:N
Last Name:HANNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 ISLAND BLVD
Mailing Address - Street 2:#1605
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4957
Mailing Address - Country:US
Mailing Address - Phone:305-725-2447
Mailing Address - Fax:
Practice Address - Street 1:2000 ISLAND BLVD
Practice Address - Street 2:#1605
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-4957
Practice Address - Country:US
Practice Address - Phone:305-725-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66972207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF65107Medicare UPIN