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HUGHES DIRECT PRIMARY CARE LLC NPI 1679138689


NPI Information

NPI: 1679138689
Provider Name: HUGHES DIRECT PRIMARY CARE LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2020534

Address:
13731 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912
Phone: (239) 278-1155
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HUGHES DIRECT PRIMARY CARE LLC is a clinic center in Fort Myers, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HUGHES DIRECT PRIMARY CARE LLC NPI is 1679138689. The provider is registered as an organization entity type.

The provider's business location address is:

13731 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912-150
Phone: (239) 278-1155
Fax: (239) 278-1159

The provider's authorized official is Joy Tomlinson .
The authorized official title is Billing and has the following contact phone number (239) 278-1155.

The CLIA number assigned to this NPI record is 10D2020534 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2019 and was last updated on 5/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11740262542OTHERFLORIDANPI
2OS9442OTHERFLORIDALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.