Healthcare Provider Details

I. General information

NPI: 1144725557
Provider Name (Legal Business Name): JOHN HENRY HOENEMEYER II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26750 US HIGHWAY 19 N STE 120
CLEARWATER FL
33761-3404
US

IV. Provider business mailing address

7421 RIDGE RD STE 105
PORT RICHEY FL
34668-6935
US

V. Phone/Fax

Practice location:
  • Phone: 727-712-6245
  • Fax: 727-896-8626
Mailing address:
  • Phone: 727-888-9289
  • Fax: 727-306-8052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME145327
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: