MEDICARE: TIFFANY HOCH D.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH9764	FL

General Provider Information

NPI Number	:	1538391586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY HOCH D.C.

Provider Business Mailing Address
First Line	:	1814 PINYON PINE DR
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240-1408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7823 N DALE MABRY HWY
Second Line	:	SUITE 104
City	:	TAMPA
State	:	FL
Zip	:	33614-3273
Country	:	US
Telephone Number	:	813-374-0244
Fax Number	:	813-374-9561

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

Provider Enumeration Date	:	08/10/2009
Last Update Date	:	02/14/2010

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Directions to “ TIFFANY HOCH D.C.” Practice Location

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