Healthcare Provider Details

I. General information

NPI: 1922404219
Provider Name (Legal Business Name): JENNIE HOKE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2014
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7195 S GEORGE BLVD
SEBRING FL
33875-5823
US

IV. Provider business mailing address

7195 S GEORGE BLVD
SEBRING FL
33875-5823
US

V. Phone/Fax

Practice location:
  • Phone: 863-451-5854
  • Fax:
Mailing address:
  • Phone: 863-451-5854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA174336
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-2086
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: