Healthcare Provider Details

I. General information

NPI: 1265545255
Provider Name (Legal Business Name): ABBY MARISSA HUNT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY MARISSA MORRIS MD

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3874 HIGHWAY 90 STE 201
PACE FL
32571-1014
US

IV. Provider business mailing address

PO BOX 95590
SOUTH JORDAN UT
84095-0590
US

V. Phone/Fax

Practice location:
  • Phone: 448-227-5050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME100285
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: