Individual
DR. GERARD H. HUBBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
924 S FLORIDA AVE, LAKELAND, FL 33803
(863) 688-6197
(863) 688-7508
Mailing address
PO BOX 207151, DALLAS, TX 75320-7151
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068250001
D-MERC
FL
05
—
084971500
—
FL
Enumeration date
09/01/2006
Last updated
01/24/2022
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