Healthcare Provider Details

I. General information

NPI: 1114406725
Provider Name (Legal Business Name): CAROLINE MARIE HOBBS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2018
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 S OCEAN DR STE 209
HOLLYWOOD FL
33019-2915
US

IV. Provider business mailing address

2229 KERRA LN
NAVARRE FL
32566-3340
US

V. Phone/Fax

Practice location:
  • Phone: 800-226-8874
  • Fax:
Mailing address:
  • Phone: 865-679-2218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11026703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: