Provider Demographics
NPI:1306814595
Name:WEST, HUGH DORSEY III (PA-C)
Entity Type:Individual
Prefix:MR
First Name:HUGH
Middle Name:DORSEY
Last Name:WEST
Suffix:III
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2186 ALLEN CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5701
Mailing Address - Country:US
Mailing Address - Phone:561-697-3184
Mailing Address - Fax:561-697-8464
Practice Address - Street 1:7305 N MILITARY TRL
Practice Address - Street 2:1C-138
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-7417
Practice Address - Country:US
Practice Address - Phone:561-422-7563
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3193363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical