Provider Demographics
NPI:1992009047
Name:MICHELE HOGGATT, MD LLC
Entity Type:Organization
Organization Name:MICHELE HOGGATT, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGGATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-656-2128
Mailing Address - Street 1:2009 MICCOSUKEE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5359
Mailing Address - Country:US
Mailing Address - Phone:850-656-2128
Mailing Address - Fax:850-942-0322
Practice Address - Street 1:2009 MICCOSUKEE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5359
Practice Address - Country:US
Practice Address - Phone:850-656-2128
Practice Address - Fax:850-942-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96807207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty