Provider Demographics
NPI:1073986113
Name:HOSCH, PAMELA (AP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HOSCH
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8724 HAMMONDWOOD RD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-6532
Mailing Address - Country:US
Mailing Address - Phone:904-738-2292
Mailing Address - Fax:
Practice Address - Street 1:8724 HAMMONDWOOD RD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-6532
Practice Address - Country:US
Practice Address - Phone:904-738-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3486171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist