Healthcare Provider Details

I. General information

NPI: 1831183458
Provider Name (Legal Business Name): DAVID L HOEHN CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N CLYDE MORRIS BLVD SUITE 350
DAYTONA BEACH FL
32114-2781
US

IV. Provider business mailing address

1600 SW ARCHER RD BOX 100254
GAINESVILLE FL
32610-4504
US

V. Phone/Fax

Practice location:
  • Phone: 386-341-6696
  • Fax:
Mailing address:
  • Phone: 352-273-8610
  • Fax: 352-273-8612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9218779
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: