Healthcare Provider Details

I. General information

NPI: 1871688101
Provider Name (Legal Business Name): ROBERT L HUNTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 FOREST HILL BLVD
WEST PALM BEACH FL
33406-5815
US

IV. Provider business mailing address

3400 FOREST HILL BLVD
WEST PALM BEACH FL
33406-5815
US

V. Phone/Fax

Practice location:
  • Phone: 561-965-5602
  • Fax: 561-965-5792
Mailing address:
  • Phone: 561-965-5602
  • Fax: 561-965-5792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA71071
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME100320
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: