Hill, Dustin R

Hill, Dustin R is an individual health care provider with primary practice located at 795 Primera Blvd Ste 1031 , Lake Mary FL 32746-2191. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Hill, Dustin R can be contacted via phone (407) 738-4200.

Contact Information

Primary practice address
795 Primera Blvd Ste 1031 Lake Mary FL 32746-2191
Phone: (407) 738-4200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME127841 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME127841 Florida

Profile Details

NPI number 1376886192
LBN Legal business name Hill, Dustin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2013
Last updated Dec 5th, 2023 - about last year

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 1376886192 NPPES
Florida Other ME127841 MEDICAL LICENSE
Florida MEDICAID 017805500 MEDICAL LICENSE

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