Hurt, John Richard

Hurt, John Richard is an individual health care provider with primary practice located at 511 Medical Plaza Dr , Leesburg FL 34748-7326. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hurt, John Richard can be contacted via phone (352) 728-6808.

Contact Information

Primary practice address
511 Medical Plaza Dr Leesburg FL 34748-7326
Phone: (352) 728-6808
Fax: (352) 728-3637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME74929 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME 74929 Florida

Profile Details

NPI number 1093710790
LBN Legal business name Hurt, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093710790 NPPES
Other 695956 TUFTS
Other 7914953 TUFTS
MEDICAID 01484956 TUFTS
Other 773114 TUFTS
Other 593516436003 TUFTS
MEDICAID 0108467 TUFTS
Other P00391218 TUFTS
Other 92419 TUFTS

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