MEDICARE: DR. JOHN WOODWARD HOOVER III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME93934	FL

General Provider Information

NPI Number	:	1033196985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN WOODWARD HOOVER III MD

Provider Business Mailing Address
First Line	:	2575 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2968
Country	:	US
Telephone Number	:	305-266-2424
Fax Number	:	305-692-0728

Provider Business Practice Location Address
First Line	:	2575 SW 67TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2968
Country	:	US
Telephone Number	:	305-266-2424
Fax Number	:	305-692-0728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	08/17/2015

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