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NPI Code Detail

MEDICARE: MR. JAMES STEPHEN HOERIG PA-C

MEDICARE: MR. JAMES STEPHEN HOERIG PA-C
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
1207Q00000XFamily Medicine PhysicianPA9110645FL

General Provider Information

NPI Number : 1457870115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES STEPHEN HOERIG PA-C
Provider Business Mailing Address
First Line : 320 PLAZA REAL APT 316
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-3950
Country : US
Telephone Number : 682-203-0457
Fax Number :
Provider Business Practice Location Address
First Line : 98 S FEDERAL HWY
Second Line :
City : BOCA RATON
State : FL
Zip : 33432-4825
Country : US
Telephone Number : 561-368-0777
Fax Number : 561-367-1300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2017
Last Update Date : 09/13/2017

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