Healthcare Provider Details

I. General information

NPI: 1407823941
Provider Name (Legal Business Name): DANIELLE HOCKEY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 N HIGHWAY 19A STE 200
MOUNT DORA FL
32757-2018
US

IV. Provider business mailing address

4880 N HIGHWAY 19A STE 200
MOUNT DORA FL
32757-2018
US

V. Phone/Fax

Practice location:
  • Phone: 352-589-8111
  • Fax: 352-589-8495
Mailing address:
  • Phone: 352-589-8111
  • Fax: 352-589-8495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number9448254
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: