MEDICARE: DR. JOHN HUGHES-PAPSIDERO D.O.

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	207Y00000X	Otolaryngology Physician	OS0005273	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80050	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841306792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HUGHES-PAPSIDERO D.O.

Provider Business Mailing Address
First Line	:	P.O. BOX 759124
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33075-9124
Country	:	US
Telephone Number	:	305-292-2259
Fax Number	:	305-292-9959

Provider Business Practice Location Address
First Line	:	1438 KENNEDY DR
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4008
Country	:	US
Telephone Number	:	305-292-2259
Fax Number	:	305-292-9959

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	03/04/2009

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