MEDICARE: DR. TEENA LYNN HUGHES 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
1	208000000X	Pediatrics Physician	ME0063388	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	:	1700885753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEENA LYNN HUGHES M.D.

Provider Business Mailing Address
First Line	:	4444 E FLETCHER AVE
Second Line	:	SUITE C
City	:	TAMPA
State	:	FL
Zip	:	33613-4937
Country	:	US
Telephone Number	:	813-903-0060
Fax Number	:	813-903-1773

Provider Business Practice Location Address
First Line	:	4444 E FLETCHER AVE
Second Line	:	SUITE C
City	:	TAMPA
State	:	FL
Zip	:	33613-4937
Country	:	US
Telephone Number	:	813-903-0060
Fax Number	:	813-903-1773

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	03/03/2011

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