Individual
PETER FAVREAU HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1535 CENTERVILLE RD, TALLAHASSEE, FL 32308-4605
(850) 877-7695
(850) 671-4243
Mailing address
1625 COPPERFIELD CIR, TALLAHASSEE, FL 32312-3753
(850) 894-3029
(850) 671-4243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078428100
—
FL
Enumeration date
11/30/2006
Last updated
07/08/2007
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