Healthcare Provider Details

I. General information

NPI: 1649707100
Provider Name (Legal Business Name): HOBBS HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3967 PEBBLE BROOKE CIR
ORANGE PARK FL
32065-8200
US

IV. Provider business mailing address

3967 PEBBLE BROOKE CIR
ORANGE PARK FL
32065-8200
US

V. Phone/Fax

Practice location:
  • Phone: 904-333-8393
  • Fax:
Mailing address:
  • Phone: 904-333-8393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT11250
License Number StateFL

VIII. Authorized Official

Name: LARISA HOBBS
Title or Position: OCCUPATIONAL THERAPIST & OWNER
Credential: OT
Phone: 904-333-8393