Provider Demographics
NPI:1639158702
Name:HOBBS, DAVID J (MD PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:HOBBS
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2191 9TH AVE N
Mailing Address - Street 2:SUITE 240
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-7146
Mailing Address - Country:US
Mailing Address - Phone:727-327-4424
Mailing Address - Fax:727-822-6017
Practice Address - Street 1:2191 9TH AVE N
Practice Address - Street 2:SUITE 240
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7146
Practice Address - Country:US
Practice Address - Phone:727-327-4424
Practice Address - Fax:727-822-6017
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25749207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD56348Medicare UPIN
FL52648AMedicare ID - Type Unspecified