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Timothy S Hughes

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NPI Number Detailed Information

Provider Information:

Name: Timothy S Hughes
Gender: M
Provider License Number If Given: ARNP2871172

NPI Information:

NPI: 1447245972
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 3/6/2008

Provider Business Mailing Address:

Address: 10721 SE 151ST ST
Summerfield, FL 34491
Phone Number: 3522078910
Fax Number:

Provider Business Practice Location Address:

Address: 10721 SE 151ST ST
Summerfield, FL 34491
Phone Number: 3524011000
Fax Number:

Provider Taxonomy:

Primary: 367500000X
Secondary (if any):
State: FL

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