Organization Name: | JEFFREY A. HUNT, DO, PA |
NPI Number: | 1265724306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY A HUNT (OWNER) |
Mailing Address: | 3001 N Rocky Point Dr E Suite #125 Tampa |
State: | FL US |
Postal Code: | 336075810 |
Phone Number: | 8132820223 |
Fax Number: | 8132820190 |
NPI Enumeration Date: | 05/09/2011 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS0005996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |