Healthcare Provider Details

I. General information

NPI: 1043034176
Provider Name (Legal Business Name): JAMES HUTCHINSON CSFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 US HIGHWAY 301 S
RIVERVIEW FL
33578-6300
US

IV. Provider business mailing address

6517 SIMONE SHORES CIR
APOLLO BEACH FL
33572-2208
US

V. Phone/Fax

Practice location:
  • Phone: 813-362-3883
  • Fax:
Mailing address:
  • Phone: 813-362-3883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: