| Dr Hometown Ftl LLC | |
|
4111 Ne 23rd Ter Lighthouse Point FL 33064-8013 | |
| (954) 860-7997 | |
| Not Available |
| Full Name | Dr Hometown Ftl LLC |
|---|---|
| Speciality | General Practice |
| Location | 4111 Ne 23rd Ter, Lighthouse Point, Florida |
| Authorized Official Name and Position | Ryan M Taube (OWNER) |
| Authorized Official Contact | 9548607997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hometown Ftl LLC 2436 N Federal Hwy # 1582436n Lighthouse Point FL 33064-6854 Ph: (954) 860-7997 | Dr Hometown Ftl LLC 4111 Ne 23rd Ter Lighthouse Point FL 33064-8013 Ph: (954) 860-7997 |
| NPI Number | 1174318018 |
|---|---|
| Provider Enumeration Date | 04/11/2025 |
| Last Update Date | 05/07/2026 |
| Certification Date | 05/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174318018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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