Provider Demographics
NPI:1720727647
Name:ROCHAU, HILARY DANAE (DACM, L AC)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:DANAE
Last Name:ROCHAU
Suffix:
Gender:F
Credentials:DACM, L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 HIGHLAND VIEW CT
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7788
Mailing Address - Country:US
Mailing Address - Phone:904-547-0812
Mailing Address - Fax:
Practice Address - Street 1:2233 PARK AVE STE 200B
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5567
Practice Address - Country:US
Practice Address - Phone:904-375-2308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP4189171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP4189OtherACUPUNCTURE PHYSICIAN LICENSE NUMBER