| Doctor Name: | MR. MARY FRANCES HIBBARD |
| NPI Number: | 1013994698 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNFA |
| License Number: | 1583722RN |
| Business Practice Address: | 1350 S Hickory St Holmes Regional Medical Center (healthfirst) Melbourne, FL - 32901 |
| Business Phone Number: | 3214347000 |
| Business Fax Number: | |
| Mailing Address: | 625 Fountain Blvd, SATELLITE BCH |
| State: | FL |
| Postal Code: | 32937 |
| Phone Number: | 3217793738 |
| Fax Number: | 3217793738 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | 1583722RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |