Individual
MR. CHRISTOPHER MARTIN HATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
531 BALD EAGLE DR, MARCO ISLAND MEDICAL CENTER, MARCO ISLAND, FL 34145-2700
(239) 393-2000
(239) 393-0355
Mailing address
531 BALD EAGLE DR, MARCO ISLAND MEDICAL CENTER, MARCO ISLAND, FL 34145-2700
(239) 393-2000
(239) 393-0355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106750
FL
363AS0400X
Surgical Physician Assistant
PA9106750
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007241200
—
FL
01
—
Y0E6E
BCBS OF FL
FL
Enumeration date
09/24/2012
Last updated
09/09/2014
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