Healthcare Provider Details

I. General information

NPI: 1841753563
Provider Name (Legal Business Name): VERONICA L HUBER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 MARINER BLVD
SPRING HILL FL
34609-5692
US

IV. Provider business mailing address

8550 NE 138TH LN STE 401
LADY LAKE FL
32159-8957
US

V. Phone/Fax

Practice location:
  • Phone: 352-666-0544
  • Fax:
Mailing address:
  • Phone: 352-674-4136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number11002322
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number3292252
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: