Individual
MRS. MAUDE HOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 NW 6TH ST STE 2C, GAINESVILLE, FL 32609-4197
(352) 377-0532
(352) 338-8001
Mailing address
4605 NW 6TH ST STE 2C, GAINESVILLE, FL 32609-4197
(352) 377-0532
(352) 338-8001
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225153455
NPI
FL
01
—
1720232648
NPI
FL
05
—
630303000
—
FL
05
—
630303001
—
FL
Enumeration date
02/27/2015
Last updated
02/27/2015
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