Provider Demographics
NPI:1508840083
Name:HUTSCHENREUTER, PAUL H (PA)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:HUTSCHENREUTER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6216
Mailing Address - Country:US
Mailing Address - Phone:407-855-2526
Mailing Address - Fax:407-855-1503
Practice Address - Street 1:3615 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6216
Practice Address - Country:US
Practice Address - Phone:407-855-2526
Practice Address - Fax:407-855-1503
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA3453363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant