Individual
CLARENCE MICHAEL HUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
125 BAPTIST WAY STE 3C, PENSACOLA, FL 32503-2274
(448) 227-6500
(850) 857-1747
Mailing address
1005 MAR WALT DRIVE, IMMEDIATE CARE DEPARTMENT, FORT WALTON BEACH, FL 32547-6796
(850) 863-8219
(850) 863-8249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9171115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010403200
—
FL
01
—
Y0KS7
BCBSFL
FL
Enumeration date
08/05/2009
Last updated
08/13/2025
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