Provider Demographics
NPI:1639461494
Name:RAPPA, HUGH GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:GREGORY
Last Name:RAPPA
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 1:6675 COPORATE CENTER PARKWAY SUITE 112
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-8080
Mailing Address - Country:US
Mailing Address - Phone:904-245-8985
Mailing Address - Fax:904-245-8988
Practice Address - Street 1:6675 COPORATE CENTER PARKWAY SUITE 112
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8080
Practice Address - Country:US
Practice Address - Phone:904-245-8985
Practice Address - Fax:904-245-8988
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator