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MRS. MARY RACHEL HAZAN PA
NPI 1376598565
Physician Assistant - Medical in Gainesville, FL

Active since May 24, 2006
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 846-0372(352) 846-0387 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Rachel Hazan Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY RACHEL HAZAN PA (NPI 1376598565) is an individual medical provider in Gainesville, Florida, licensed in Florida (PA9101614) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1376598565
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MARY RACHEL HAZANCredential: PA
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing AddressPo Box 918025Orlando, FL 32891-8025 · (352) 846-0372 · Fax (352) 846-0387
Phone(352) 846-0372
Fax(352) 846-0387
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJune 2, 2009
✔ NPI 1376598565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9101614
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9101614 (FL)
1600 SW ARCHER RD, Gainesville, FL 32610
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Other Identifiers 3

Medicare PINE6767X
Medicaid292831100FL
Medicare UPINP48882

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Hazan's NPI number?

The NPI number for Mary Hazan is 1376598565. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Mary Hazan located?

Mary Hazan practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 846-0372.

What is Mary Hazan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mary Hazan was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.