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NPI Code Detail

MEDICARE: CANDICE S. HUGHES MD

MEDICARE: CANDICE S. HUGHES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101253117VA

General Provider Information

NPI Number : 1376864496
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE S. HUGHES MD
Provider Business Mailing Address
First Line : 1395 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33169-5710
Country : US
Telephone Number : 757-825-8030
Fax Number :
Provider Business Practice Location Address
First Line : 48 NEWMARKET SQ
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23605-2721
Country : US
Telephone Number : 757-825-8030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 03/25/2020

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