Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 02669 | KY |
N | 207RR0500X | Rheumatology | 17723 | MS |
Y | 207RR0500X | Rheumatology | OS17872 | FL |
NPI | 1083728901 |
---|---|
Provider Name | Drew M Huffman |
First Address | Fort Myers, FL 33901-9342 |
Second Address | Jacksonville, FL 32256-5836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00125926 | (05) | MS |
NZ300 | MEDICARE (01) | FL |