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NPI 1225696719

NPI 1225696719 : MISTY MEI HOBBS MD : JACKSONVILLE BEACH, FL

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General NPI Number Information
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    NPI Number           |    1225696719
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    Entity Type          |    Individual 
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    Provider Name        |    MISTY MEI HOBBS MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2019
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    Last Update Date     |    08/07/2024
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Provider Practice Location Address
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    Address Line         |    3200 3RD ST S STE 200 
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    City                 |    JACKSONVILLE BEACH
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    State                |    FL
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    Zip                  |    32250-6097
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    Country              |    US
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    Telephone            |    813-321-1786
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    Fax                  |    813-321-1787
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Provider Business Mailing Address
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    Address Line         |    18228 N US HIGHWAY 41 
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    City                 |    LUTZ
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    State                |    FL
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    Zip                  |    33549-4400
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    Country              |    US
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    Telephone            |    813-321-1786
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    Fax                  |    813-321-1787
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    ME151843
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    License Number State |    FL
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