Healthcare Provider Details

I. General information

NPI: 1902534456
Provider Name (Legal Business Name): KEVIN HOHMANN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 SE 3RD AVE
FORT LAUDERDALE FL
33316-1105
US

IV. Provider business mailing address

731 LYONS RD
COCONUT CREEK FL
33063-6754
US

V. Phone/Fax

Practice location:
  • Phone: 239-601-7164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: