Healthcare Provider Details

I. General information

NPI: 1689718231
Provider Name (Legal Business Name): JAMES ARTHUR HOEHNE C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 TAMPA ROAD SUITE H
PALM HARBOR FL
34683
US

IV. Provider business mailing address

2445 TAMPA RD SUITE H
PALM HARBOR FL
34683-5849
US

V. Phone/Fax

Practice location:
  • Phone: 727-786-0880
  • Fax: 727-786-0882
Mailing address:
  • Phone: 727-786-0880
  • Fax: 727-786-0882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License NumberORT111
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: