Provider Demographics
NPI:1871546366
Name:HURT, JULIAN ELMORE (MD)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:ELMORE
Last Name:HURT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1405 CENTERVILLE RD
Mailing Address - Street 2:SUITE 5000
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4655
Mailing Address - Country:US
Mailing Address - Phone:850-877-7886
Mailing Address - Fax:850-877-0738
Practice Address - Street 1:1405 CENTERVILLE RD
Practice Address - Street 2:SUITE 5000
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4655
Practice Address - Country:US
Practice Address - Phone:850-877-7886
Practice Address - Fax:850-877-0738
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0046161208G00000X
GA051949208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA06BDHCQMedicare Oscar/Certification
FLD54640Medicare UPIN
FL37481VMedicare Oscar/Certification