Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME0062095 | FL |
NPI | 1013902204 |
---|---|
Provider Name | Dr. Hugh H Windom |
First Address | Sarasota, FL 34239-6405 |
Second Address | Sarasota, FL 34239-6405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 06/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0205070 | UHC (01) | FL |
14953 | BLUE CROSS BLUE SHIELD FL (01) | FL |
370374600 | (05) | FL |
625216 | AETNA (01) | FL |
7529109001 | CIGNA (01) | FL |
F28532 | (02) | FL |