Provider Demographics
NPI:1881630127
Name:HUNTER, MARSHA PERKINS
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:PERKINS
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1024
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-1024
Mailing Address - Country:US
Mailing Address - Phone:850-539-4118
Mailing Address - Fax:850-539-5728
Practice Address - Street 1:905 GENERAL ST
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333
Practice Address - Country:US
Practice Address - Phone:850-539-4118
Practice Address - Fax:850-539-5728
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor