MEDICARE: DR. JAMES J HUTSON JR. M.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	207X00000X	Orthopaedic Surgery Physician	ME37361	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811951403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J HUTSON JR. M.D.

Provider Business Mailing Address
First Line	:	1475 NW 12TH AVE
Second Line	:	BOX 016960 (M851)
City	:	MIAMI
State	:	FL
Zip	:	33101-6960
Country	:	US
Telephone Number	:	305-243-7688
Fax Number	:	305-243-8470

Provider Business Practice Location Address
First Line	:	1475 NW 12TH AVE
Second Line	:	BOX 016960 (M851)
City	:	MIAMI
State	:	FL
Zip	:	33101-6960
Country	:	US
Telephone Number	:	305-243-7688
Fax Number	:	305-243-8470

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	04/07/2014

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