Jon Gilbert Hebblewhite, D.O.
Individual provider Active NPI Family Medicine Physician · Bunnell, FL
NPI 1508974346 · NPPES record last updated Mar 3, 2023
Key facts
- NPI
- 1508974346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 053102 (FL)
- Practice address
- 4489 Clove Avenue
Bunnell, FL 32110-5241 - Phone
- (813) 503-6789
- Fax
- (813) 932-5389
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053102 | FL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 053102 | FL | Yes |
Addresses
Primary practice location
4489 Clove Avenue
Bunnell, FL 32110-5241
Mailing address
4489 Clove Avenue
Bunnell, FL 32110-5241
Phone (813) 503-6789
Other providers in Bunnell, FL
- Deborah A Frazer
- Brittany C Gaskin
- Melissa Celene Guarnieri
- Misty Lynn Hamling
- Ashley Jessica Harris
- Helping Hands of Flagler County, LLC
- Helping Hands of Flagler County, LLC
- Helping Hands of Flagler County, LLC
- Helping Hands of Flagler County, LLC
- Wendy Louise Hicks
All providers in Bunnell, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.