Individual
JACQUELINE D HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5214 4TH AVENUE CIR E, BRADENTON, FL 34208-5621
(941) 782-4150
Mailing address
PO BOX 9478, BRADENTON, FL 34206-9478
(941) 782-4299
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME112045
FL
Other
Enumeration date
04/22/2010
Last updated
08/14/2015
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