Healthcare Provider Details

I. General information

NPI: 1285911891
Provider Name (Legal Business Name): MS. CRYSTAL D HUTCHINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 11/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 19TH AVE S
SAINT PETERSBURG FL
33712-2919
US

IV. Provider business mailing address

3000 19TH AVE S
SAINT PETERSBURG FL
33712-2919
US

V. Phone/Fax

Practice location:
  • Phone: 727-239-2600
  • Fax:
Mailing address:
  • Phone: 727-239-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: