Provider Demographics
NPI:1033196985
Name:HOOVER, JOHN WOODWARD III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WOODWARD
Last Name:HOOVER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2575 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2968
Mailing Address - Country:US
Mailing Address - Phone:305-266-2424
Mailing Address - Fax:305-692-0728
Practice Address - Street 1:2575 SW 67TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2968
Practice Address - Country:US
Practice Address - Phone:305-266-2424
Practice Address - Fax:305-692-0728
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2015-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME93934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine