Organization
DR HOMETOWN FTL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN M TAUBE (OWNER)
(954) 860-7997
Entity
Organization
Contact information
Practice address
4111 NE 23RD TER, LIGHTHOUSE POINT, FL 33064-8013
(954) 860-7997
Mailing address
2436 N FEDERAL HWY # 1582436N, LIGHTHOUSE POINT, FL 33064-6854
(954) 860-7997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
05/07/2026
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