Provider Demographics
NPI:1235363375
Name:HOME VISITING PHYSICIANS, LLC
Entity Type:Organization
Organization Name:HOME VISITING PHYSICIANS, LLC
Other - Org Name:FLORIDA FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LATCHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDOWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-508-8076
Mailing Address - Street 1:2120 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-2927
Mailing Address - Country:US
Mailing Address - Phone:407-483-8944
Mailing Address - Fax:407-483-8946
Practice Address - Street 1:2120 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-2927
Practice Address - Country:US
Practice Address - Phone:407-483-8944
Practice Address - Fax:407-483-8946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93125207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty