MEDICARE: HOOKS FAMILY PRACTICE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363LP2300X	Primary Care Nurse Practitioner
3	174H00000X	Health Educator
4	175L00000X	Homeopath
5	171400000X	Health & Wellness Coach
6	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1871459065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOOKS FAMILY PRACTICE LLC

Provider Business Mailing Address
First Line	:	780 HIGHLAND AVE NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-7729
Country	:	US
Telephone Number	:	321-468-8706
Fax Number	:	321-382-4473

Provider Business Practice Location Address
First Line	:	780 HIGHLAND AVE NW
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-7729
Country	:	US
Telephone Number	:	321-468-8706
Fax Number	:	321-382-4473

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	FANNY HOOKS
Credential	:
Telephone Number	:	321-468-8706

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

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