Provider Demographics
NPI:1649446402
Name:JUBRAN A HOCHE MD PA
Entity type:Organization
Organization Name:JUBRAN A HOCHE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUBRAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-983-5631
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:965-983-5631
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:965-983-5631
Practice Address - Fax:954-983-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0041679174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7616AMedicare PIN