Individual
DR. SHAWN GERARD HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
999 MAR WALT DR, FORT WALTON BEACH, FL 32547
(850) 863-8182
(850) 863-9614
Mailing address
1005 MAR WALT DRIVE, FORT WALTON BEACH, FL 32547-6796
(850) 863-8182
(850) 863-9614
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS14379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020490500
—
FL
01
—
DR29W
FLORIDA BLUE
FL
01
—
JA197Z
MEDICARE PTAN
FL
Enumeration date
06/27/2012
Last updated
06/14/2018
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