Provider Demographics
NPI:1871579946
Name:HUNT, JEFFREY A (DO)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:HUNT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 N ROCKY POINT DR E
Mailing Address - Street 2:SUITE #125
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5810
Mailing Address - Country:US
Mailing Address - Phone:813-282-0223
Mailing Address - Fax:813-282-0190
Practice Address - Street 1:3001 N ROCKY POINT DR E
Practice Address - Street 2:SUITE #125
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5810
Practice Address - Country:US
Practice Address - Phone:813-282-0223
Practice Address - Fax:813-282-0190
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0S0005996208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80448Medicare ID - Type Unspecified
A15271Medicare UPIN