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Dr. Scott R Hannum, DO
Vascular Surgery Physician in Kissimmee, Florida
NPI 1679595615

Scott R Hannum is a Vascular Surgery Physician based in Kissimmee, FL and is specialized in Vascular Surgery. Scott R Hannum practices in Kissimmee, FL and has the professional credentials of DO. The NPI Number for Scott R Hannum is 1679595615 and holds a License No. OS8740 (Florida).

The current practice location address for Scott R Hannum is 720 W Oak St Ste 309, Kissimmee, FL and can be reached out via phone at 407-518-4982 and via fax at 407-518-1748. You can also correspond with Scott R Hannum through the mailing address at 720 W OAK ST, KISSIMMEE, FL - 34741-4910 (mailing address contact number: 407-518-4982).

Location: 720 W Oak St Ste 309, Kissimmee, FL, 34741-4910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679595615
Provider Name
Scott R Hannum
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
720 W Oak St Ste 309, Kissimmee, FL, 34741-4910
Phone Number
407-518-4982
Fax Number
407-518-1748
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17027 01 FL BCBS
264703600 05 FL
institution
Provider Business Practice Location Address Details
Address
720 W Oak St Ste 309
City
Kissimmee
State
Florida
Zip
34741-4910
Phone Number
407-518-4982
Fax Number
407-518-1748
person
Provider Business Mailing Address Details
Address
720 W Oak St Ste 309
City
Kissimmee
State
Florida
Zip
34741-4910
Phone Number
407-518-4982
Fax Number
407-518-1748
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
OS8740 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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