| Doctor Name: | CLARENCE MICHAEL HUTTO |
| NPI Number: | 1245461508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | RN9171115 |
| Business Practice Address: | 8990 Navarre Parkway Immediate Care Department Navarre, FL - 32566 |
| Business Phone Number: | 8503960108 |
| Business Fax Number: | |
| Mailing Address: | 1005 Mar Walt Drive, Immediate Care Department FORT WALTON BEACH |
| State: | FL |
| Postal Code: | 325476796 |
| Phone Number: | 8508638219 |
| Fax Number: | 8508638249 |
| NPI Enumeration Date: | 08/05/2009 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN9171115 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |