Healthcare Provider Details

I. General information

NPI: 1982031142
Provider Name (Legal Business Name): DANIEL CADE HOHLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 06/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SE TIFFANY AVE
PORT ST LUCIE FL
34952-7521
US

IV. Provider business mailing address

298 S YONGE ST
ORMOND BEACH FL
32174
US

V. Phone/Fax

Practice location:
  • Phone: 772-335-4000
  • Fax:
Mailing address:
  • Phone: 386-274-7801
  • Fax: 386-274-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS14509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: