Individual ProviderNasr HannaRadiologyAllopathic & Osteopathic PhysiciansPractice Address6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655(727) 381-0275(727) 462-0189PECOS EnrollmentBased on the most recent information from CMS, provider Nasr Hanna does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:46 AM.Profile DetailsProvider ID1457447500Provider TypeIndividualFull NameHanna, NasrCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/5/2006Last Updated2/1/2012Contact InformationPractice LocationPractice Address6449 38th Ave N, Suite C4, St Petersburg, FL 33710-1655Phone(727) 381-0275Fax(727) 345-8025Mailing LocationMailing Address440 S Gulfview Blvd Apt 1402, Clearwater, FL 33767-2517Phone(727) 462-0189Fax(727) 345-8025Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME77090FloridaProvider IdentifiersIDDescriptionIssuerIDME77090DescriptionOtherIssuerLICENSE NOFlorida