Healthcare Provider Details

I. General information

NPI: 1902114614
Provider Name (Legal Business Name): WILLIAM A. HEWSON, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 09/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SE OCEAN BLVD 222C
STUART FL
34994-2471
US

IV. Provider business mailing address

900 SE OCEAN BLVD 222C
STUART FL
34994-2471
US

V. Phone/Fax

Practice location:
  • Phone: 772-286-8440
  • Fax: 772-286-8442
Mailing address:
  • Phone: 772-286-8440
  • Fax: 772-286-8442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME14005
License Number StateFL

VIII. Authorized Official

Name: DR. WILLIAM A HEWSON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 772-286-8440