Provider Demographics
NPI:1932563293
Name:HOED DE BECHE, CESAR (DC)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:
Last Name:HOED DE BECHE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 SW 152ND ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1928
Mailing Address - Country:US
Mailing Address - Phone:305-238-2310
Mailing Address - Fax:305-675-9232
Practice Address - Street 1:9040 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1928
Practice Address - Country:US
Practice Address - Phone:305-238-2310
Practice Address - Fax:305-675-9232
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1932563293OtherAETNA
FLIQ823ZMedicare Oscar/Certification