Healthcare Provider Details

I. General information

NPI: 1568664225
Provider Name (Legal Business Name): DAVID MICHAEL HOHIMER JR. D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 E OAKLAND PARK BLVD
FT LAUDERDALE FL
33306-1106
US

IV. Provider business mailing address

2601 NE 27TH TER
FT LAUDERDALE FL
33306-1721
US

V. Phone/Fax

Practice location:
  • Phone: 954-566-9812
  • Fax: 954-630-8722
Mailing address:
  • Phone: 954-630-2599
  • Fax: 954-630-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN15986
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: