Healthcare Provider Details

I. General information

NPI: 1124433354
Provider Name (Legal Business Name): AARON HUTCHINSON AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 04/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 DUNLAWTON AVE SUITE 101
PORT ORANGE FL
32127-4745
US

IV. Provider business mailing address

1009 FLOTILLA CLUB DR
INDIAN HARBOUR BEACH FL
32937-4210
US

V. Phone/Fax

Practice location:
  • Phone: 877-637-8387
  • Fax:
Mailing address:
  • Phone: 321-482-3757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1868
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: