Healthcare Provider Details

I. General information

NPI: 1871459065
Provider Name (Legal Business Name): HOOKS FAMILY PRACTICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 HIGHLAND AVE NW
PALM BAY FL
32907-7729
US

IV. Provider business mailing address

780 HIGHLAND AVE NW
PALM BAY FL
32907-7729
US

V. Phone/Fax

Practice location:
  • Phone: 321-468-8706
  • Fax: 321-382-4473
Mailing address:
  • Phone: 321-468-8706
  • Fax: 321-382-4473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FANNY HOOKS
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 321-468-8706