Provider Demographics
NPI:1083815773
Name:HOCHSTEIN, LEONARD (MD)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:
Last Name:HOCHSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19495 BISCAYNE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2338
Mailing Address - Country:US
Mailing Address - Phone:305-931-3338
Mailing Address - Fax:305-931-3324
Practice Address - Street 1:19495 BISCAYNE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2338
Practice Address - Country:US
Practice Address - Phone:305-931-3338
Practice Address - Fax:305-931-3324
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0069623174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0069623Medicare ID - Type Unspecified
FLF79745Medicare UPIN