Provider Demographics
NPI:1265545255
Name:HUNT, ABBY MARISSA (MD)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:MARISSA
Last Name:HUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:MARISSA
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 17567
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32522-7567
Mailing Address - Country:US
Mailing Address - Phone:850-994-1011
Mailing Address - Fax:850-994-0807
Practice Address - Street 1:3874 HIGHWAY 90 STE 201
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32571-1014
Practice Address - Country:US
Practice Address - Phone:850-994-1011
Practice Address - Fax:850-994-0807
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280242200Medicaid
FLAL177XMedicare PIN
FL280242200Medicaid