Provider Demographics
NPI:1902114614
Name:WILLIAM A. HEWSON, M.D., P.A.
Entity Type:Organization
Organization Name:WILLIAM A. HEWSON, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:HEWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-286-8440
Mailing Address - Street 1:900 SE OCEAN BLVD
Mailing Address - Street 2:222C
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2471
Mailing Address - Country:US
Mailing Address - Phone:772-286-8440
Mailing Address - Fax:772-286-8442
Practice Address - Street 1:900 SE OCEAN BLVD
Practice Address - Street 2:222C
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2471
Practice Address - Country:US
Practice Address - Phone:772-286-8440
Practice Address - Fax:772-286-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME14005207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL43036Medicare PIN
FLD54830Medicare UPIN