Provider Demographics
NPI:1669475158
Name:OCHOA-BAYONA, JOSE LEONEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LEONEL
Last Name:OCHOA-BAYONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12902 USF MAGNOLIA DR
Mailing Address - Street 2:FOB 3 BMT
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-9416
Mailing Address - Country:US
Mailing Address - Phone:813-745-7208
Mailing Address - Fax:813-745-8468
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:FOB 3 BMT
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:813-745-7208
Practice Address - Fax:813-745-8468
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME99608207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01242OtherBLUE CROSS BLUE SHIELD OF FLORIDA
TX164629102Medicaid
FL279372500Medicaid
TX164629102Medicaid
FL279372500Medicaid
TXI04128Medicare UPIN