Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric Theodore Hutzel, PA-C

Individual provider Physician Assistant · NPI 1487120085

Eric Theodore Hutzel, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with First Coast Nephrology Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
8
Licensed in
FL, NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Phone: (904) 636-5400
Fax: (904) 928-0654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111818 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-08517 (NC)

Record details

NPI number1487120085
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESNovember 27, 2018
Mailing address10058 Baymeadows Rd, Jacksonville, FL 32256-7177

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice First Coast Nephrology Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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