Individual
DR. BOYD NICHOLAS HATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803
(407) 200-2355
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD 13941
HI
2085R0202X
Diagnostic Radiology Physician
Primary
ME97372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277954400
—
FL
01
—
AC 066Z
MEDICARE PTAN INNOVATIVE IMAGING INDIVIDUAL
FL
01
—
AC 103
MEDICARE PTAN INNOVATIVE IMAGING
FL
Enumeration date
10/13/2006
Last updated
08/14/2018
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