Provider Demographics
NPI:1720074347
Name:HUGHES, LENARD MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:LENARD
Middle Name:MICHAEL
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 1:15471 TEMPLE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3130
Mailing Address - Country:US
Mailing Address - Phone:561-792-5096
Mailing Address - Fax:561-792-5096
Practice Address - Street 1:901 45TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2413
Practice Address - Country:US
Practice Address - Phone:561-844-6300
Practice Address - Fax:561-792-5096
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 683962086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268685600Medicaid
FL49413OtherBCBS FL
FL268685600Medicaid
FL49413OtherBCBS FL