MEDICARE: DR. PETER JAMES HUTCHISON AU.D.

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	231H00000X	Audiologist	AY2064	FL

General Provider Information

NPI Number	:	1619420551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER JAMES HUTCHISON AU.D.

Provider Business Mailing Address
First Line	:	7802 LEMONWOOD CT
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-6535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9156 SEMINOLE BLVD
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-3148
Country	:	US
Telephone Number	:	727-393-3775
Fax Number	:

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

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	09/29/2017

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