Provider Demographics
NPI:1578683884
Name:HUGHES, MICHAEL C (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:C
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 S BAYSHORE DR
Mailing Address - Street 2:#310
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-5309
Mailing Address - Country:US
Mailing Address - Phone:305-858-7810
Mailing Address - Fax:305-858-7811
Practice Address - Street 1:2701 S BAYSHORE DR
Practice Address - Street 2:#310
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-5309
Practice Address - Country:US
Practice Address - Phone:305-858-7810
Practice Address - Fax:305-858-7811
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27456174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist