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NPI Code Detail

MEDICARE: NEAL HODGES FOUKE

MEDICARE: NEAL HODGES FOUKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9111826OR
2363A00000XPhysician AssistantPA9111826FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033675277
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEAL HODGES FOUKE
Provider Business Mailing Address
First Line : 25 N 4TH ST
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-2032
Country : US
Telephone Number : 541-748-9650
Fax Number : 541-615-9306
Provider Business Practice Location Address
First Line : 3015 N OCEAN BLVD STE C101
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-7300
Country : US
Telephone Number : 754-270-6322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2019
Last Update Date : 05/15/2026

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Directions to “ NEAL HODGES FOUKE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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