Individual
DR. ROBERT SEALS HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
578 STERTHAUS AVE, ORMOND BEACH, FL 32174-5128
(386) 671-3007
Mailing address
578 STERTHAUS AVE, ORMOND BEACH, FL 32174-5128
(386) 671-3007
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0074491
FL
332900000X
Non-Pharmacy Dispensing Site
BH6217740-DEA #
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253501700
—
FL
01
—
ME0074491
MEDICAL LICENSE
FL
Enumeration date
09/25/2006
Last updated
07/31/2008
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