MEDICARE: PAUL DAVID HUGHES PT

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	225100000X	Physical Therapist	PT842	FL

General Provider Information

NPI Number	:	1831113786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL DAVID HUGHES PT

Provider Business Mailing Address
First Line	:	1925 ANTIGUA RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6725
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 ANTIGUA RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-6725
Country	:	US
Telephone Number	:	561-965-5507
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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