Hughes Direct Primary Care Llc | |
9351 Corkscrew Rd Ste 101 Estero FL 33928-6801 | |
(239) 278-1155 | |
(239) 278-1159 |
Full Name | Hughes Direct Primary Care Llc |
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Speciality | Clinic/Center |
Location | 9351 Corkscrew Rd Ste 101, Estero, Florida |
Authorized Official Name and Position | Joy Tomlinson (BILLING) |
Authorized Official Contact | 2392781155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hughes Direct Primary Care Llc 9351 Corkscrew Rd Ste 101 Estero FL 33928-6801 Ph: (239) 278-1155 | Hughes Direct Primary Care Llc 9351 Corkscrew Rd Ste 101 Estero FL 33928-6801 Ph: (239) 278-1155 |
NPI Number | 1679138689 |
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Provider Enumeration Date | 05/06/2019 |
Last Update Date | 06/27/2023 |
Medicare PECOS PAC ID | 0749613750 |
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Medicare Enrollment ID | O20191205001326 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679138689 | NPI | - | NPPES |
1740262542 | Other | FL | NPI |
OS9442 | Other | FL | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Douglas S Hughes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740262542 PECOS PAC ID: 7810925393 Enrollment ID: I20050727000663 |
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