MEDICARE: DR. ROBERT J BOCHENSKI MD

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	207Q00000X	Family Medicine Physician	RL9703	ND
2	207Q00000X	Family Medicine Physician	ME115886	FL

General Provider Information

NPI Number	:	1558587717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J BOCHENSKI MD

Provider Business Mailing Address
First Line	:	4530 S ORANGE BLOSSOM TRL # 506
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-1704
Country	:	US
Telephone Number	:	218-230-4508
Fax Number	:	701-777-6860

Provider Business Practice Location Address
First Line	:	4530 S ORANGE BLOSSOM TRL # 506
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-1704
Country	:	US
Telephone Number	:	218-230-4508
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	01/04/2019

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