Individual
HENRY TYLER HOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Mailing address
1222 S. ORANGE AVE, ORLANDO, FL 32806
(321) 841-3040
(321) 841-3049
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9110194
FL
Other
Enumeration date
03/06/2017
Last updated
06/02/2017
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