Individual
DONALD J HUGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
812 W INDIAN BLVD., EDGEWATER, FL 32132-3429
(386) 426-1411
(386) 426-1411
Mailing address
2950 SUNSET DR, NEW SMYRNA BEACH, FL 32168-5616
(386) 871-5708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001658
FLORIDA HEALTH CARE
FL
01
—
IB111Z
MEDICARE PTAN
FL
Enumeration date
08/31/2005
Last updated
04/23/2015
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