| Entity Name: | AUGUSTO E. HOYLE, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Oct 1999 (25 years ago) |
| Document Number: | P99000093590 |
| FEI/EIN Number | 650968792 |
| Address: | 2300 S CONGRESS AVE, 106, BOYNTON BEACH, FL, 33426 |
| Mail Address: | 2300 S CONGRESS AVE, 106, BOYNTON BEACH, FL, 33426 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124217617 | 2007-10-19 | 2008-08-28 | 2300 S CONGRESS AVE STE 106, BOYNTON BEACH, FL, 334267400, US | 2300 S CONGRESS AVE STE 106, BOYNTON BEACH, FL, 334267400, US | |||||||||||||||||||||||||
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| Phone | +1 561-732-8500 |
| Fax | 5617325052 |
Authorized person
| Name | PATRICIA HOYLE |
| Role | OFFICE MANAGER |
| Phone | 5617328500 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME55106 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 250709900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOLTUN JEFFREY M | Agent | 557 NORTH WYMORE ROAD., STE 100, MAITLAND, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| HOYLE AUGUSTO E | President | 2300 SOUTH CONGRESS AVE #106, BOYNTON BEACH, FL, 33426 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
