| Hubsher Healthcare, P.a. | |
|
6545 Ridge Road Suite 4 Port Richey FL 34668 | |
| (727) 844-7077 | |
| (727) 847-6919 |
| Full Name | Hubsher Healthcare, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 6545 Ridge Road, Port Richey, Florida |
| Authorized Official Name and Position | Mason Hubsher (PRESIDENT) |
| Authorized Official Contact | 7278447077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hubsher Healthcare, P.a. 6545 Ridge Road Suite 4 Port Richey FL 34668 Ph: (727) 844-7077 | Hubsher Healthcare, P.a. 6545 Ridge Road Suite 4 Port Richey FL 34668 Ph: (727) 844-7077 |
| NPI Number | 1972698959 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204722424 |
|---|---|
| Medicare Enrollment ID | O20040225000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972698959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0054777 (Florida) | Primary |
| Provider Name | Mason Ivor Hubsher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467441493 PECOS PAC ID: 5193611325 Enrollment ID: I20120126000171 |
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