Individual provider · Type 1 NPI

Ethan David Hare, DO

Student in an Organized Health Care Education/Training Program · Deerfield Beach, FL

NPI number 1194589903 Active

Practice location

201 E Sample Rd
Deerfield Beach, FL 33064-3502

Call (954) 941-8300 Map

Mailing address

575 NE 5th Ter Apt 253
Fort Lauderdale, FL 33301-2156

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194589903

Ethan David Hare, DO's National Provider Identifier is 1194589903, issued on Feb 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Jun 17, 2025.