| James J. Hynick, D.o., P.a. | |
|
301 E State Road 434 Longwood FL 32750-5217 | |
| (407) 339-3524 | |
| (407) 339-3832 |
| Full Name | James J. Hynick, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 301 E State Road 434, Longwood, Florida |
| Authorized Official Name and Position | James J Hynick (OWNER) |
| Authorized Official Contact | 4073393524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James J. Hynick, D.o., P.a. 301 E State Road 434 Longwood FL 32750-5217 Ph: (407) 339-3524 | James J. Hynick, D.o., P.a. 301 E State Road 434 Longwood FL 32750-5217 Ph: (407) 339-3524 |
| NPI Number | 1932588050 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 5698087682 |
|---|---|
| Medicare Enrollment ID | O20150706000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932588050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS3683 (Florida) | Primary |
| Provider Name | James J Hynick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619958667 PECOS PAC ID: 9830372853 Enrollment ID: I20110328000881 |
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