Healthcare Provider Details

I. General information

NPI: 1932162823
Provider Name (Legal Business Name): JONATHAN D. HOBSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEASE DR STE 200
SAFETY HARBOR FL
34695-6604
US

IV. Provider business mailing address

1840 MEASE DR STE 200
SAFETY HARBOR FL
34695-6604
US

V. Phone/Fax

Practice location:
  • Phone: 727-724-8611
  • Fax: 727-724-0425
Mailing address:
  • Phone: 727-724-8611
  • Fax: 727-724-0425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME70689
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: