Healthcare Provider Details

I. General information

NPI: 1477163889
Provider Name (Legal Business Name): ANNA MARIE HOO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2020
Last Update Date: 08/01/2020
Certification Date: 08/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 CENTRAL PARK BLVD N STE 350
BOCA RATON FL
33428-1753
US

IV. Provider business mailing address

1066 NW 96TH AVE
PLANTATION FL
33322-4883
US

V. Phone/Fax

Practice location:
  • Phone: 561-300-5858
  • Fax: 561-300-5777
Mailing address:
  • Phone: 954-347-4195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF05180089
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF05180089
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: