MEDICARE: CAROL ANN HESS MS MD PL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME83927	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124343009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROL ANN HESS MS MD PL

Provider Business Mailing Address
First Line	:	10480 STRINGFELLOW RD
Second Line	:	SUITE 1
City	:	ST JAMES CITY
State	:	FL
Zip	:	33956-3227
Country	:	US
Telephone Number	:	727-678-4377
Fax Number	:

Provider Business Practice Location Address
First Line	:	10480 STRINGFELLOW RD
Second Line	:	SUITE 1
City	:	ST JAMES CITY
State	:	FL
Zip	:	33956-3227
Country	:	US
Telephone Number	:	727-678-4377
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROL ANN HESS
Credential	:	M.D.
Telephone Number	:	727-648-4377

Provider Enumeration Date	:	04/02/2010
Last Update Date	:	09/12/2011

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