Healthcare Provider Details

I. General information

NPI: 1457696080
Provider Name (Legal Business Name): KARYL HOBBS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2012
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7599 CYPRESS GARDENS BLVD STE P
WINTER HAVEN FL
33884-3263
US

IV. Provider business mailing address

7599 CYPRESS GARDENS BLVD STE P
WINTER HAVEN FL
33884-3263
US

V. Phone/Fax

Practice location:
  • Phone: 863-324-4725
  • Fax: 863-324-4783
Mailing address:
  • Phone: 863-324-4725
  • Fax: 863-324-4783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9106749
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: