Provider Demographics
NPI:1124479316
Name:JOSEPH, HUTCHINSON
Entity type:Individual
Prefix:
First Name:HUTCHINSON
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 616754
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32861-6754
Mailing Address - Country:US
Mailing Address - Phone:321-662-0291
Mailing Address - Fax:
Practice Address - Street 1:422 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-3203
Practice Address - Country:US
Practice Address - Phone:321-800-4488
Practice Address - Fax:321-800-4499
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker