Individual
MR. JONATHAN HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11101 S CROWN WAY, SUITE 1, WELLINGTON, FL 33414-8792
(561) 795-9150
(561) 798-7700
Mailing address
11101 S CROWN WAY, SUITE 1, WELLINGTON, FL 33414-8792
(561) 795-9150
(561) 798-7700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 39578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420166-00
—
FL
Enumeration date
05/17/2006
Last updated
10/26/2009
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