Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME26962 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME26962 | FL |
NPI | 1508860370 |
---|---|
Provider Name | Patrick M.j. Hutton |
First Address | Jacksonville, FL 32209-6525 |
Second Address | Jacksonville, FL 32209-6525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 11/10/2013 |