Organization Name: | HCH PHYSICIAN SERVICES LLC |
NPI Number: | 1932504834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HANTZ C HERCULE (OWNER) |
Mailing Address: | 809 E Jefferson St Quincy |
State: | FL US |
Postal Code: | 323512623 |
Phone Number: | 8506624070 |
Fax Number: | 8506624047 |
NPI Enumeration Date: | 11/04/2014 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |