Individual
MR. MICHAEL RYAN HOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3345 S DALE MABRY HWY, TAMPA, FL 33629-7817
(813) 234-0100
Mailing address
2202 N LOIS AVE APT 2302, TAMPA, FL 33607-2575
(312) 909-1028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9112164
FL
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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