Provider Demographics
NPI:1871863670
Name:SEABORN M HUNT III MD PA
Entity type:Organization
Organization Name:SEABORN M HUNT III MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEABORN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:352-873-7200
Mailing Address - Street 1:3220 SW 31ST RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7445
Mailing Address - Country:US
Mailing Address - Phone:352-873-7200
Mailing Address - Fax:888-972-4715
Practice Address - Street 1:3220 SW 31ST RD
Practice Address - Street 2:SUITE 301
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7445
Practice Address - Country:US
Practice Address - Phone:352-873-7200
Practice Address - Fax:888-972-4715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76293207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFW067AOtherMEDICARE PIN GROUP
FL35764Medicare PIN
FL35764WMedicare PIN