Provider Demographics
NPI:1033245303
Name:HOBBS, ANDRE CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:CHRISTOPHER
Last Name:HOBBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12600 PEMBROKE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027
Mailing Address - Country:US
Mailing Address - Phone:786-514-3290
Mailing Address - Fax:786-522-9015
Practice Address - Street 1:12600 PEMBROKE RD
Practice Address - Street 2:SUITE 302
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2544
Practice Address - Country:US
Practice Address - Phone:786-514-3290
Practice Address - Fax:786-522-9015
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME951742081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL37131Medicare PIN