Healthcare Provider Details

I. General information

NPI: 1194636613
Provider Name (Legal Business Name): ALEXANDER DEANE HOBBS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 INTERLACHEN RD STE D
MELBOURNE FL
32940-1994
US

IV. Provider business mailing address

1401 REED CANAL RD UNIT 18104
PORT ORANGE FL
32129-9493
US

V. Phone/Fax

Practice location:
  • Phone: 321-622-6778
  • Fax:
Mailing address:
  • Phone: 321-693-7619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16118
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: