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Organization
BOB HUTCHINSON PA
Active
Organization
BOB HUTCHINSON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY LEE HUTCHINSON D.C. (PRESIDENT/OWNER)
(904) 264-3966
Entity
Organization
Contact information
Practice address
1413 KINGSLEY AVE, ORANGE PARK, FL 32073-4527
(904) 264-9366
(904) 278-7171
Mailing address
1413 KINGSLEY AVE, ORANGE PARK, FL 32073-4527
(904) 264-9366
(904) 278-7171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050196400
—
FL
Enumeration date
01/25/2010
Last updated
02/04/2011
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