Individual
JOHN HUNTER PROTHEROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
303 NORTH CLYDE MORRIS BL, HALIFAX HEALTH MEDICAL CENTER, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Mailing address
303 NORTH CLYDE MORRIS BL, HALIFAX HEALTH MEDICAL CENTER, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000888400
—
FL
Enumeration date
03/31/2009
Last updated
04/05/2010
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