Individual
EDDIE C HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7511 JOHN MATTHEWS RD, MILTON, FL 32583-3401
(850) 516-3039
(850) 623-1181
Mailing address
7511 JOHN MATTHEWS RD, MILTON, FL 32583-3401
(850) 516-3039
(850) 623-1181
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CNA27456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
673797879
—
FL
Enumeration date
06/13/2012
Last updated
06/13/2012
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