Healthcare Provider Details

I. General information

NPI: 1568593648
Provider Name (Legal Business Name): LENARD M HUGHES MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 06/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

15471 TEMPLE BLVD
LOXAHATCHEE FL
33470-3130
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-6300
  • Fax: 561-792-5096
Mailing address:
  • Phone: 561-792-5096
  • Fax: 561-792-5096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberME68396
License Number StateFL

VIII. Authorized Official

Name: LENARD M HUGHES
Title or Position: PRESIDENT
Credential: MD
Phone: 561-792-5096