MEDICARE: RODERICK FRANKLIN HOOK

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	207L00000X	Anesthesiology Physician	19133	NH
2	207L00000X	Anesthesiology Physician	ME122284	FL

General Provider Information

NPI Number	:	1194014456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODERICK FRANKLIN HOOK

Provider Business Mailing Address
First Line	:	549 WAHOO RD
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32408-7262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	549 WAHOO RD
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32408-7262
Country	:	US
Telephone Number	:	904-476-4080
Fax Number	:

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

Provider Enumeration Date	:	04/06/2011
Last Update Date	:	05/08/2019

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Directions to “ RODERICK FRANKLIN HOOK ” Practice Location

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