Provider Demographics
NPI:1376888719
Name:DAIVD J HOBBS MD PA
Entity Type:Organization
Organization Name:DAIVD J HOBBS MD PA
Other - Org Name:DAVID J HOBBS MD PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:727-327-4424
Mailing Address - Street 1:2191 9TH AVE N STE 240
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7148
Mailing Address - Country:US
Mailing Address - Phone:727-327-4424
Mailing Address - Fax:727-822-6017
Practice Address - Street 1:2191 9TH AVE N STE 240
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7148
Practice Address - Country:US
Practice Address - Phone:727-327-4424
Practice Address - Fax:727-822-6017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25749207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D56348Medicare UPIN