Provider Demographics
NPI:1376743252
Name:HUNT, GENE JASON (DO)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:JASON
Last Name:HUNT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4450 E FLETCHER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4907
Mailing Address - Country:US
Mailing Address - Phone:813-336-5237
Mailing Address - Fax:813-336-2112
Practice Address - Street 1:1210 KY HIGHWAY 36 E
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-7490
Practice Address - Country:US
Practice Address - Phone:859-234-1707
Practice Address - Fax:859-234-1768
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 12597207X00000X
TNDO0000004648207X00000X
NC2022-02876207X00000X
KY03172207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19599000Medicaid