MEDICARE: BRENDA HOY P.A.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	PA12495	CA
2	363AS0400X	Surgical Physician Assistant	PA9107934	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	970026278	OTHER		RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ZZZ07779Z	OTHER	CA	BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1538162292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA HOY P.A.

Provider Business Mailing Address
First Line	:	PO BOX 10744
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33757-8744
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:	727-266-4928

Provider Business Practice Location Address
First Line	:	455 PINELLAS ST
Second Line	:	SUITE 320
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3369
Country	:	US
Telephone Number	:	727-446-2273
Fax Number	:	727-441-4966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/24/2016

455 PINELLAS ST STE 330
CLEARWATER, FL
33756-3369

Practice Phone: 727-532-0002
Practice Fax:

455 PINELLAS ST STE 320
CLEARWATER, FL
33756-3369