Provider Demographics
NPI:1093903288
Name:ACCESS MD P L
Entity Type:Organization
Organization Name:ACCESS MD P L
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HOBAICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-260-5307
Mailing Address - Street 1:4202 SILVER FOX DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8596
Mailing Address - Country:US
Mailing Address - Phone:239-260-5307
Mailing Address - Fax:
Practice Address - Street 1:4202 SILVER FOX DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8596
Practice Address - Country:US
Practice Address - Phone:239-260-5307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0077961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHO8481Medicare UPIN