MEDICARE: KURT HOOVER PHD PA

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	103T00000X	Psychologist	PY4918	FL

General Provider Information

NPI Number	:	1639335052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KURT HOOVER PHD PA

Provider Business Mailing Address
First Line	:	5221 EHRLICH RD STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2006
Country	:	US
Telephone Number	:	813-926-3170
Fax Number	:	813-908-2729

Provider Business Practice Location Address
First Line	:	5221 EHRLICH RD STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2006
Country	:	US
Telephone Number	:	813-926-3170
Fax Number	:	813-908-2729

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KURT LEE HOOVER
Credential	:	PH.D.
Telephone Number	:	813-926-3170

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	08/05/2008

Similar Medicare Providers

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Practice Location Address:

5221 EHRLICH RD , SUITE A
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1467654244 — TOWER IMAGING LLC
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Directions to “KURT HOOVER PHD PA ” Practice Location

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