Provider Demographics
NPI:1992799175
Name:HUGHES, THOMAS E (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48393
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33743-8393
Mailing Address - Country:US
Mailing Address - Phone:727-341-1234
Mailing Address - Fax:727-384-6158
Practice Address - Street 1:1228 66TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-6226
Practice Address - Country:US
Practice Address - Phone:727-341-1234
Practice Address - Fax:727-384-6158
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381687700Medicaid
FLU9041OtherBCBS
FL684476OtherACN-UNITED HEALTH CARE
FLU95904Medicare UPIN
FL381687700Medicaid