Individual
MR. CLAYTON THOMAS HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0651
(352) 265-0153
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101992
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291471900
—
FL
Enumeration date
06/09/2006
Last updated
08/20/2010
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