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Organization
JACQUELINE HUBBARD, M.D., PLLC
Active
Organization
JACQUELINE HUBBARD, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE HUBBARD (AMBR)
(727) 877-8225
Entity
Organization
Contact information
Practice address
2653 MCCORMICK DR, CLEARWATER, FL 33759-1041
(727) 877-8225
Mailing address
PO BOX 530251, ST PETERSBURG, FL 33747-0251
(727) 877-8225
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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