Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Hometown Ftl LLC

Organization General Practice Physician · NPI 1174318018

Dr Hometown Ftl LLC is a General Practice Physician in Lighthouse Point, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4111 NE 23rd Ter
Lighthouse Point, FL 33064-8013
Phone: (954) 860-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1174318018
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Taube — Owner · (954) 860-7997
NPI enumeratedApril 11, 2025
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing address2436 N Federal Hwy # 1582436n, Lighthouse Point, FL 33064-6854

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