Provider Demographics
NPI:1477306009
Name:HUGLEY, PATRICE L
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:L
Last Name:HUGLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 S STATE ROAD 7 STE 21
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5288
Mailing Address - Country:US
Mailing Address - Phone:754-888-9074
Mailing Address - Fax:
Practice Address - Street 1:3600 S STATE ROAD 7 STE 21
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5288
Practice Address - Country:US
Practice Address - Phone:754-888-9074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
FL3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant