Provider Demographics
NPI:1376873463
Name:HUGHES, DAVID JOHN (OTR/L)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOHN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O BOX 357283
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32635
Mailing Address - Country:US
Mailing Address - Phone:352-213-6105
Mailing Address - Fax:352-372-0185
Practice Address - Street 1:4210 NW 37TH PL
Practice Address - Street 2:SUITE 200
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7700
Practice Address - Country:US
Practice Address - Phone:352-872-5200
Practice Address - Fax:352-872-5109
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7923225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist