MEDICARE: AARON HUTCHINSON AU.D.

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	231H00000X	Audiologist	AY1868	FL

General Provider Information

NPI Number	:	1124433354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON HUTCHINSON AU.D.

Provider Business Mailing Address
First Line	:	1009 FLOTILLA CLUB DR
Second Line	:
City	:	INDIAN HARBOUR BEACH
State	:	FL
Zip	:	32937-4210
Country	:	US
Telephone Number	:	321-482-3757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 DUNLAWTON AVE
Second Line	:	SUITE 101
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-4745
Country	:	US
Telephone Number	:	877-637-8387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	04/14/2017

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