Provider Demographics
NPI:1811084783
Name:F.A. HAUBER ,M.D., P.A.
Entity type:Organization
Organization Name:F.A. HAUBER ,M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-847-4448
Mailing Address - Street 1:5347 MAIN STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2506
Mailing Address - Country:US
Mailing Address - Phone:727-847-4448
Mailing Address - Fax:727-845-1572
Practice Address - Street 1:5347 MAIN STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2506
Practice Address - Country:US
Practice Address - Phone:727-847-4448
Practice Address - Fax:727-845-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207W00000X
FLME0025741207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0897190001Medicaid
FL056786800Medicaid
FL0897190001Medicare NSC
72354Medicare PIN
FL056786800Medicaid