MEDICARE: DR. KARIN ANN OCHOA MD

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	174400000X	Specialist	ME68220	FL
2	207R00000X	Internal Medicine Physician	ME0068220	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	68211	OTHER		CHAMVA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	27512	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	593392581	OTHER	FL	TAX ID CORPORATE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750384160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIN ANN OCHOA MD

Provider Business Mailing Address
First Line	:	3300 DAIRY RD
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32796
Country	:	US
Telephone Number	:	321-269-6530
Fax Number	:	321-269-2334

Provider Business Practice Location Address
First Line	:	3300 DAIRY RD
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32796
Country	:	US
Telephone Number	:	321-269-6530
Fax Number	:	321-269-2334

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	02/24/2011

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Directions to “ DR. KARIN ANN OCHOA MD” Practice Location

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