IndividualActive
Issa Hanna, MD
NPI 1578067955 · Pediatrics Physician · Jacksonville, FL
Provider details
- NPI number
- 1578067955
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- TRN26245 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
841 Prudential Dr Ste 1130
Jacksonville, FL 32207-8331
Phone: (904) 633-4199
Fax: (904) 633-4188
Street-level locationGet directions
Mailing address
11469 John Dory Way
Jacksonville, FL 32223-7373
Additional practice locations (2)
- 11469 John Dory WayJacksonville, FL 32223-7373Phone: (904) 704-9192
- 655 W 8th StJacksonville, FL 32209-6511Phone: (904) 633-4199
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.