Individual
MS. DIANE C HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1340 RIDGEWOOD AVE, HOLLY HILL, FL 32117-2320
(386) 676-7172
Mailing address
502 PUERTA COURT, ALTAMONTE SPRINGS, FL 32701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3214
FL
Other
Enumeration date
03/02/2006
Last updated
03/30/2021
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