Healthcare Provider Details

I. General information

NPI: 1710228820
Provider Name (Legal Business Name): COCINTHEAME E HUTCHISON CASE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 DOUGLAS AVE STE 185
ALTAMONTE SPRINGS FL
32714-5210
US

IV. Provider business mailing address

6803 WEISER STREET I-202
ORLANDO FL
32811
US

V. Phone/Fax

Practice location:
  • Phone: 407-703-5959
  • Fax:
Mailing address:
  • Phone: 407-703-5959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: