Healthcare Provider Details

I. General information

NPI: 1093754657
Provider Name (Legal Business Name): DAVID W HUNT DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 10/21/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8409 SW 80TH ST STE 8
OCALA FL
34481-9117
US

IV. Provider business mailing address

8409 SW 80TH ST STE 8
OCALA FL
34481-9117
US

V. Phone/Fax

Practice location:
  • Phone: 352-414-1922
  • Fax: 844-388-6186
Mailing address:
  • Phone: 352-414-1922
  • Fax: 844-388-6186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS11163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: