Provider Demographics
NPI:1730102609
Name:HOBAICA, PAUL (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:HOBAICA
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 1:1201 PIPER BLVD
Mailing Address - Street 2:SUITE 25
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1380
Mailing Address - Country:US
Mailing Address - Phone:239-260-5307
Mailing Address - Fax:239-260-5308
Practice Address - Street 1:1201 PIPER BLVD
Practice Address - Street 2:SUITE 25
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1380
Practice Address - Country:US
Practice Address - Phone:239-260-5307
Practice Address - Fax:239-260-5308
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0077961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL49451OtherBCBS
FLH8481Medicare UPIN