MEDICARE: ALEXANDER HOCKE DPT

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	225100000X	Physical Therapist	35424	FL

General Provider Information

NPI Number	:	1538708458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER HOCKE DPT

Provider Business Mailing Address
First Line	:	7511 NW 1ST CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-7003
Country	:	US
Telephone Number	:	954-483-9019
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 INDIAN RIVER BLVD STE A135
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-7105
Country	:	US
Telephone Number	:	772-978-9750
Fax Number	:

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

Provider Enumeration Date	:	12/23/2019
Last Update Date	:	12/23/2019

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