Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9222117 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9222117 | FL |
NPI | 1083715288 |
---|---|
Provider Name | Mr. Richard W Huber |
First Address | Sebring, FL 33872-3850 |
Second Address | Sebring, FL 33870-1333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 13/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q28568 | (02) | IL |