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Individual

MICHAEL HUBBARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
333 1ST ST N, SUITE 200, JACKSONVILLE BEACH, FL 32250-6945
(904) 241-9231
Mailing address
22291 WESTCHESTER BLVD, APARTMENT 207, PORT CHARLOTTE, FL 33952-9242

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20178
FL

Other

Enumeration date
07/19/2012
Last updated
07/19/2012
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