Provider Demographics
NPI:1093821761
Name:JOHN A HUGHES-PAPSIDERO P A
Entity Type:Organization
Organization Name:JOHN A HUGHES-PAPSIDERO P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES-PAPSIDERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:305-292-2259
Mailing Address - Street 1:P.O. BOX 759124
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33075-9124
Mailing Address - Country:US
Mailing Address - Phone:305-292-2259
Mailing Address - Fax:305-292-9959
Practice Address - Street 1:1438 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4008
Practice Address - Country:US
Practice Address - Phone:305-292-2259
Practice Address - Fax:305-292-9959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0005273207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID NUMBER