| Judith Anne Hantl, PA-C | |
|
13109 Titleist Dr, Hudson, FL 34669-2411 | |
| (727) 856-2357 | |
| Not Available |
| Full Name | Judith Anne Hantl |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 13109 Titleist Dr, Hudson, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255597993 | NPI | - | NPPES |
| A10236RX | Other | LA | LA STATE LICENSE |
| 1332402 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | A10236RX (Louisiana) | Primary |
| 363A00000X | Physician Assistant | 0110003216 (Virginia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Anne Hantl, PA-C 13109 Titleist Dr, Hudson, FL 34669-2411 Ph: (727) 856-2357 | Judith Anne Hantl, PA-C 13109 Titleist Dr, Hudson, FL 34669-2411 Ph: (727) 856-2357 |
Mr. Stephen Kette, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Bernard Scott Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Joseph A Mirville Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14000 Fivay Rd, Hudson, FL 34667 Phone: 727-819-2929 | |
Robert Obenrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 | |
Rachel Tipton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 | |
Miss Yesenia Boresoff, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7529 Medical Dr, Hudson, FL 34667 Phone: 727-862-6524 Fax: 727-862-6439 |