Doctor profile · Federal record
Dr. Mary Hazan, PA
Medical Physician Assistant · Surgical Physician Assistant · Gainesville, FL
- NPI 1376598565
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1600 Sw Archer RD
Gainesville, FL 326103003
(352) 846-0372
fax (352) 846-0387 - Mailing address
-
Po Box 918025
Orlando, FL 328918025
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- June 2, 2009
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Florida #PA9101614
- Medicaid
- FL #292831100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376598565. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$733
Transactions
41
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 41 | $732.68 |
By nature of payment
Frequently asked questions
What is Dr. Mary Hazan's medical specialty?
Dr. Mary Hazan practices Medical Physician Assistant in Gainesville, FL.
Where does Dr. Mary Hazan practice?
Dr. Mary Hazan practices at 1600 Sw Archer RD, Gainesville, FL 326103003. Office phone: 3528460372.
What is Dr. Mary Hazan's NPI?
Dr. Mary Hazan's National Provider Identifier (NPI) is 1376598565, issued by NPPES.