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NPI Code Detail

MEDICARE: DR. ELIZA HUEDA M.D.

MEDICARE: DR. ELIZA HUEDA M.D.
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
1208000000XPediatrics PhysicianME119940FL
2390200000XStudent in an Organized Health Care Education/Training Program
3208000000XPediatrics Physician2010-01858NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117136OTHERFLBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629199385
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZA HUEDA M.D.
Provider Business Mailing Address
First Line : 3940 ARROWHEAD BLVD
Second Line : SUITE 210
City : MEBANE
State : NC
Zip : 27302-7637
Country : US
Telephone Number : 919-304-5900
Fax Number : 919-304-5901
Provider Business Practice Location Address
First Line : 3940 ARROWHEAD BLVD
Second Line : BUILDING A SUITE 210
City : MEBANE
State : NC
Zip : 27302-7636
Country : US
Telephone Number : 919-904-4418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 06/23/2017

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Directions to “ DR. ELIZA HUEDA M.D.” Practice Location

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