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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL GORDON HATHCOCK, PA

Active Sole Proprietor

SAMUEL 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 300
CELEBRATION, FL, 347475434
Browse 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.