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NPI Code Detail

MEDICARE: STEPHEN HOOGHUIS

MEDICARE: STEPHEN HOOGHUIS
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
1225200000XPhysical Therapy AssistantPTA30217FL

General Provider Information

NPI Number : 1821723131
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN HOOGHUIS
Provider Business Mailing Address
First Line : 2502 NE 12TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32609-3158
Country : US
Telephone Number : 352-226-9603
Fax Number :
Provider Business Practice Location Address
First Line : 2400 MCKINNEY BLVD
Second Line :
City : COLONIAL BEACH
State : VA
Zip : 22443-1237
Country : US
Telephone Number : 804-224-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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Directions to “ STEPHEN HOOGHUIS ” Practice Location

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