Provider Demographics
NPI:1730472069
Name:TEENA HUGHES, M.D.,P.A.
Entity Type:Organization
Organization Name:TEENA HUGHES, M.D.,P.A.
Other - Org Name:TEENA HUGHES, M.D.,P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-903-0060
Mailing Address - Street 1:PO BOX 47312
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33646-0137
Mailing Address - Country:US
Mailing Address - Phone:813-903-0060
Mailing Address - Fax:813-903-1773
Practice Address - Street 1:4444 E FLETCHER AVE
Practice Address - Street 2:SUITE C
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4905
Practice Address - Country:US
Practice Address - Phone:813-903-0060
Practice Address - Fax:813-903-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63388174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty