Individual
THOMAS ALLAN HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 SAXON BLVD, DEPT. OF PATHOLOGY, ORANGE CITY, FL 32763-8468
(386) 851-5000
(386) 917-5184
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OS10390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000153100
—
FL
05
—
5904724
—
NC
01
—
P00352128
RAILROAD MEDICARE
—
Enumeration date
08/24/2006
Last updated
07/21/2009
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