Provider Demographics
NPI:1558474759
Name:HOCHFELDER, ROBERT E (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:E
Last Name:HOCHFELDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8750 SW 159TH ST
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2045
Mailing Address - Country:US
Mailing Address - Phone:305-975-3903
Mailing Address - Fax:305-255-3621
Practice Address - Street 1:861 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3703
Practice Address - Country:US
Practice Address - Phone:305-858-3433
Practice Address - Fax:305-858-1952
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22474Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER