MEDICARE: MS. JANET NEWQUIST HUNT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW3467	FL

General Provider Information

NPI Number	:	1427055276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET NEWQUIST HUNT

Provider Business Mailing Address
First Line	:	1900 S HARBOR CITY BLVD
Second Line	:	SUITE 218
City	:	MELBOURNE
State	:	FL
Zip	:	32901-4749
Country	:	US
Telephone Number	:	321-956-0282
Fax Number	:	321-956-0282

Provider Business Practice Location Address
First Line	:	1900 S HARBOR CITY BLVD
Second Line	:	SUITE 218
City	:	MELBOURNE
State	:	FL
Zip	:	32901-4749
Country	:	US
Telephone Number	:	321-956-0282
Fax Number	:	321-956-0282

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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