MEDICARE: MISS DEIRDRE HUGHES OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	10337	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609954163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DEIRDRE HUGHES OTR/L

Provider Business Mailing Address
First Line	:	18316 NW 68TH AVE APT C
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33015
Country	:	US
Telephone Number	:	305-821-0881
Fax Number	:

Provider Business Practice Location Address
First Line	:	1893 NE MIAMI GARDENS DR
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5035
Country	:	US
Telephone Number	:	305-682-0080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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