Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL GORDON HATHCOCK, PA
Active Sole ProprietorSAMUEL GORDON HATHCOCK, PA is a Physician Assistant healthcare provider located in CELEBRATION, Florida. NPI 1992375554 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CELEBRATION, FL
Registration Details
- NPI Number
- 1992375554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2021 (5.1127698371212 yrs)
- Last Updated
- Jan 16, 2024
- Licenses
-
0110-008149 (VA)PA9116218 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 CELEBRATION PL STE 300CELEBRATION, FL, 347475434Browse FL providers · Browse ZIP 34747
- Phone
- 4078944474
- Fax
- 4078947032
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CELEBRATION, FL
| Name | Credential | NPI |
|---|---|---|
| CHRISTIAN M ELLIOTT | PAC | 1326106170 |
| JASON DESCALSO | PA | 1215090279 |
| JILL M. SAGER | PA-C | 1760677363 |
| KELLY MARIE IANNAZZO | PA-C | 1679710149 |
| MICHAEL EARL TAYLOR | PA | 1437450343 |
| EILEEN SWENSON | PA-C | 1528341344 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.