Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 35081962 | OH |
N | 207Q00000X | Family Doctor | ME95892 | FL |
Y | 207QA0505X | Family Doctor - Adult Medicine | ME95892 | FL |
NPI | 1295776516 |
---|---|
Provider Name | Dr. Rebecca Price Hunton |
First Address | Indialantic, FL 32903-4280 |
Second Address | Indialantic, FL 32903-3154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2430980 | (05) | OH |
H88039 | (02) |