Healthcare Provider Details

I. General information

NPI: 1023873635
Provider Name (Legal Business Name): ANTHONY HULME DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2024
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 INDIAN RIVER BLVD STE A135
VERO BEACH FL
32960-7105
US

IV. Provider business mailing address

158 YALE DR
LAKE WORTH BEACH FL
33460-6361
US

V. Phone/Fax

Practice location:
  • Phone: 772-978-9750
  • Fax: 772-978-9748
Mailing address:
  • Phone: 561-727-9378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number41371
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: