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NPI Code Detail

MEDICARE: MR. DANIEL STANLEY HUTTO ARNP

MEDICARE: MR. DANIEL STANLEY HUTTO ARNP
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
1363LF0000XFamily Nurse PractitionerARNP 9213649FL

General Provider Information

NPI Number : 1710274527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL STANLEY HUTTO ARNP
Provider Business Mailing Address
First Line : 6777 CHESTER PARK CIR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-1427
Country : US
Telephone Number : 904-887-6470
Fax Number :
Provider Business Practice Location Address
First Line : 5238-16 NORWOOD AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-5005
Country : US
Telephone Number : 904-861-1222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 08/01/2011

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