Provider Demographics
NPI:1710174362
Name:HOCHE, JUBRAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JUBRAN
Middle Name:A
Last Name:HOCHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 JOHNSON ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6033
Mailing Address - Country:US
Mailing Address - Phone:954-983-5631
Mailing Address - Fax:954-983-2476
Practice Address - Street 1:3800 JOHNSON ST
Practice Address - Street 2:SUITE E
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6033
Practice Address - Country:US
Practice Address - Phone:954-983-5631
Practice Address - Fax:954-983-2476
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041679174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043841300Medicaid
FL043841300Medicaid
FL96968RMedicare PIN