Provider Demographics
NPI:1679845937
Name:HOBDARI FAMILY HEALTH LLC
Entity type:Organization
Organization Name:HOBDARI FAMILY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF THE COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:LINDITA
Authorized Official - Middle Name:ROBOCI
Authorized Official - Last Name:HOBDARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-260-1033
Mailing Address - Street 1:1855 VETERANS PARK DR STE 201
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0446
Mailing Address - Country:US
Mailing Address - Phone:239-260-1033
Mailing Address - Fax:239-260-1491
Practice Address - Street 1:1855 VETERANS PARK DR STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0446
Practice Address - Country:US
Practice Address - Phone:239-260-1033
Practice Address - Fax:239-260-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-02
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty