Provider Demographics
NPI:1790003341
Name:ANN R HUTCHINSON M D P A
Entity Type:Organization
Organization Name:ANN R HUTCHINSON M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-286-8445
Mailing Address - Street 1:295 SE FLORIDA ST
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3836
Mailing Address - Country:US
Mailing Address - Phone:772-286-8445
Mailing Address - Fax:772-286-9052
Practice Address - Street 1:295 SE FLORIDA ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3836
Practice Address - Country:US
Practice Address - Phone:772-286-8445
Practice Address - Fax:772-286-9052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME053709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty