MEDICARE: DR. ROBERT T HOOVER II DPM

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	213E00000X	Podiatrist	PO1503	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568574622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT T HOOVER II DPM

Provider Business Mailing Address
First Line	:	100 WAYMONT CT STE 110
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3412
Country	:	US
Telephone Number	:	407-307-0006
Fax Number	:	407-743-0091

Provider Business Practice Location Address
First Line	:	100 WAYMONT CT STE 110
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3412
Country	:	US
Telephone Number	:	407-307-0006
Fax Number	:	407-743-0091

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/23/2025

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