Healthcare Provider Details

I. General information

NPI: 1659349264
Provider Name (Legal Business Name): JOHN FREDERICK HUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7251 UNIVERSITY BLVD SUITE 300
WINTER PARK FL
32792-8659
US

IV. Provider business mailing address

7251 UNIVERSITY BLVD SUITE 300
WINTER PARK FL
32792-8659
US

V. Phone/Fax

Practice location:
  • Phone: 407-677-0099
  • Fax: 407-677-5505
Mailing address:
  • Phone: 407-677-0099
  • Fax: 407-677-5505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME61564
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: