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NPI 1275795361

NPI 1275795361 : JAMES G HUBERT DO : UNIVERSITY PARK, FL

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General NPI Number Information
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    NPI Number           |    1275795361
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES G HUBERT DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/30/2008
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    8029 COOPER CREEK BLVD STE 104 
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    City                 |    UNIVERSITY PARK
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    State                |    FL
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    Zip                  |    34201-3003
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    Country              |    US
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    Telephone            |    800-991-6117
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    Fax                  |    888-812-8191
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Provider Business Mailing Address
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    Address Line         |    3820 NORTHDALE BLVD STE 201 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33624-1893
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    Country              |    US
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    Telephone            |    800-991-6117
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    Fax                  |    888-812-8191
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    202K00000X
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    Taxonomy Name        |    Phlebology Physician
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    License Number       |    OS9568
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207QH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Family Medicine) Physician
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    License Number       |    OS9568
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    340045
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    OS9568
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    License Number State |    FL
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