Healthcare Provider Details
I. General information
NPI: 1346345188
Provider Name (Legal Business Name): APRIL DAWN HURT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/14/2006
Last Update Date: 02/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2237 NW 36TH PL
GAINESVILLE FL
32605-2358
US
IV. Provider business mailing address
2237 NW 36TH PL
GAINESVILLE FL
32605-2358
US
V. Phone/Fax
- Phone: 352-792-6700
- Fax: 352-792-6661
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | OS 8986 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: