Healthcare Provider Details

I. General information

NPI: 1477252138
Provider Name (Legal Business Name): AMY HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2023
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 E OAKLAND PARK BLVD STE 205
FORT LAUDERDALE FL
33306-1658
US

IV. Provider business mailing address

9802 BOCA GARDENS CIR N APT C
BOCA RATON FL
33496-1742
US

V. Phone/Fax

Practice location:
  • Phone: 954-228-5355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: