MEDICARE: ZACHARY HOHENBERG

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	225C00000X	Rehabilitation Counselor		FL
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1730587668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY HOHENBERG

Provider Business Mailing Address
First Line	:	1736 OAKHURST AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2749
Country	:	US
Telephone Number	:	512-850-9657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 S SEMORAN BLVD STE A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-1424
Country	:	US
Telephone Number	:	407-704-7811
Fax Number	:

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

Provider Enumeration Date	:	12/09/2014
Last Update Date	:	12/05/2018

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Directions to “ ZACHARY HOHENBERG ” Practice Location

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