Individual
HOMER PAUL HATTEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1485 37TH ST, SUITE 107, VERO BEACH, FL 32960-6500
(772) 569-9745
(772) 567-6868
Mailing address
111 TWIN ISLAND REACH, VERO BEACH, FL 32963-3909
(772) 231-3453
(772) 231-8986
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME0076679
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME0076679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262748500
—
FL
Enumeration date
07/20/2005
Last updated
06/03/2008
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