Healthcare Provider Details

I. General information

NPI: 1679845937
Provider Name (Legal Business Name): HOBDARI FAMILY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2012
Last Update Date: 05/08/2020
Certification Date: 05/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 VETERANS PARK DR STE 201
NAPLES FL
34109-0446
US

IV. Provider business mailing address

1855 VETERANS PARK DR STE 201
NAPLES FL
34109-0446
US

V. Phone/Fax

Practice location:
  • Phone: 239-260-1033
  • Fax: 239-260-1491
Mailing address:
  • Phone: 239-260-1033
  • Fax: 239-260-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME96127
License Number StateFL

VIII. Authorized Official

Name: LINDITA ROBOCI HOBDARI
Title or Position: PRESIDENT OF THE COMPANY
Credential: M.D
Phone: 239-260-1033