Healthcare Provider Details

I. General information

NPI: 1699692897
Provider Name (Legal Business Name): MADISON ELIZABETH HOOK DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 JACARANDA BLVD
VENICE FL
34292
US

IV. Provider business mailing address

3004 W FAIR OAKS AVE
TAMPA FL
33611-1641
US

V. Phone/Fax

Practice location:
  • Phone: 813-442-9089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number31735
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: