Individual
THEODORE ARTHUR HUBBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
812 RENAISSANCE POINTE APT 107, ALTAMONTE SPRINGS, FL 32714-3526
(407) 301-0448
Mailing address
812 RENAISSANCE POINTE APT 107, ALTAMONTE SPRINGS, FL 32714-3526
(407) 301-0448
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
172082
AK
164W00000X
Licensed Practical Nurse
PN5197492
FL
Other
Enumeration date
03/06/2021
Last updated
03/10/2021
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