Provider Demographics
NPI:1598700304
Name:WARREN T HITT MD, PA
Entity type:Organization
Organization Name:WARREN T HITT MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HITT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-769-4045
Mailing Address - Street 1:2202 STATE AVE.
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4590
Mailing Address - Country:US
Mailing Address - Phone:850-769-4045
Mailing Address - Fax:850-769-0273
Practice Address - Street 1:2202 STATE AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-7601
Practice Address - Country:US
Practice Address - Phone:850-769-4045
Practice Address - Fax:850-769-0273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMEOO48523174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty