Healthcare Provider Details

I. General information

NPI: 1023355096
Provider Name (Legal Business Name): KIMBERLY F HOBBS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 S ORLANDO AVE
WINTER PARK FL
32789-4844
US

IV. Provider business mailing address

741 S ORLANDO AVE
WINTER PARK FL
32789-4844
US

V. Phone/Fax

Practice location:
  • Phone: 407-622-0309
  • Fax: 407-622-0313
Mailing address:
  • Phone: 407-622-0309
  • Fax: 407-622-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS46285
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: