Healthcare Provider Details

I. General information

NPI: 1659218824
Provider Name (Legal Business Name): BIANKHA ELIZA HUGHES I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 MAGUIRE RD
OCOEE FL
34761-4750
US

IV. Provider business mailing address

2167 CHICKADEE DR
APOPKA FL
32703-1676
US

V. Phone/Fax

Practice location:
  • Phone: 407-602-5010
  • Fax:
Mailing address:
  • Phone: 407-741-3453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: