Individual
MS. DOROTHY PETERS HITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1503 BUENOS AIRES BLVD, THE VILLAGES, FL 32159-6821
(352) 753-2812
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0272724
CLIA #
FL
01
—
592660405
GROUP TAX ID #
FL
01
—
970028747
RAILROAD M/C PROVIDER #
FL
01
—
CG7408
RAILROAD M/C GROUP #
FL
01
—
K1373
MEDICARE GROUP #
FL
Enumeration date
02/02/2006
Last updated
04/12/2018
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