Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME95174 | FL |
NPI | 1033245303 |
---|---|
Provider Name | Andre Christopher Hobbs |
First Address | Miramar, FL 33027 |
Second Address | Miramar, FL 33027-2544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 26/05/2015 |