Healthcare Provider Details

I. General information

NPI: 1518934694
Provider Name (Legal Business Name): HANK LAWRENCE HUTCHINSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE FL
32308-4470
US

IV. Provider business mailing address

3334 CAPITAL MEDICAL BLVD #400
TALLAHASSEE FL
32308-4470
US

V. Phone/Fax

Practice location:
  • Phone: 850-877-8174
  • Fax: 850-877-5636
Mailing address:
  • Phone: 850-877-8174
  • Fax: 850-877-5636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME 94962
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: