Individual
MRS. LAURA JEAN HOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA, PALATKA, FL 32177-6800
(386) 328-7337
Mailing address
6910 OLD WOLF BAY RD, KIDS CARE PEDIATRICS, PA, PALATKA, FL 32177-6800
(386) 328-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 0050743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04165
BLUE CROSS BLUE SHIELD FL
FL
05
—
043223700
—
FL
Enumeration date
10/12/2005
Last updated
01/27/2011
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