Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME135798 | FL |
N | 208000000X | Pediatrician | 04-35132 | KS |
N | 208000000X | Pediatrician | 2011008003 | MO |
N | 208000000X | Pediatrician | MD.204602 | LA |
NPI | 1518131440 |
---|---|
Provider Name | Dr. Ebony Dione Hunter |
First Address | St Petersburg, FL 33701-4634 |
Second Address | St Petersburg, FL 33701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 26/03/2021 |