MEDICARE: MR. DAVID A HOCHBERG M.D.

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
1	208800000X	Urology Physician	ME83201	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1396709705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID A HOCHBERG M.D.

Provider Business Mailing Address
First Line	:	2708 W ST ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6320
Country	:	US
Telephone Number	:	813-877-7434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 W SAINT ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6320
Country	:	US
Telephone Number	:	813-877-7434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	09/26/2021

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