Healthcare Provider Details

I. General information

NPI: 1619898996
Provider Name (Legal Business Name): SHAKEENA HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 FORUM PL STE B
WEST PALM BEACH FL
33401-2336
US

IV. Provider business mailing address

1691 FORUM PL STE B
WEST PALM BEACH FL
33401-2336
US

V. Phone/Fax

Practice location:
  • Phone: 561-543-8597
  • Fax:
Mailing address:
  • Phone: 561-543-8597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: