Individual
MS. DOROTHY PETERS HITE
Active
Individual
MS. DOROTHY PETERS HITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
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
Update your record
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