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Individual

DR. JEREMIAH A HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
520 SE 8TH AVE, CRYSTAL RIVER, FL 34429-4844
(352) 564-2663
(352) 564-2615
Mailing address
PO BOX 640580, BEVERLY HILLS, FL 34464-0580
(352) 746-5707
(352) 746-5944

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1783
AZ
207X00000X
Orthopaedic Surgery Physician
5101008459
MI
207X00000X
Orthopaedic Surgery Physician
OP-915
WA
207X00000X
Orthopaedic Surgery Physician
Primary
OS4814
FL

Other

Enumeration date
06/07/2006
Last updated
05/03/2011
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