Provider Demographics
NPI:1326157710
Name:HOCK, LEONARD R JR (DO)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:R
Last Name:HOCK
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2387
Mailing Address - Country:US
Mailing Address - Phone:561-848-5200
Mailing Address - Fax:
Practice Address - Street 1:5300 EAST AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2387
Practice Address - Country:US
Practice Address - Phone:561-848-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10277207RH0002X
KS0517967207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL103YOtherMEDICARE TPAN
E47306Medicare UPIN
53795OtherFIRST HEALTH
110006323Medicare ID - Type UnspecifiedMEDICARE RAILROAD
KS497209OtherBLUE CROSS BLUE SHIELD KS
KS1544380AMedicare ID - Type Unspecified
MO241361815Medicaid
4533851OtherAETNA
MO1544380Medicare ID - Type Unspecified
KS100229390DMedicaid