Provider Demographics
NPI:1285967042
Name:JOCHUM, MONICA (RCA)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:JOCHUM
Suffix:
Gender:F
Credentials:RCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9252
Mailing Address - Country:US
Mailing Address - Phone:772-692-7636
Mailing Address - Fax:772-692-7637
Practice Address - Street 1:2835 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-9252
Practice Address - Country:US
Practice Address - Phone:772-692-7636
Practice Address - Fax:772-692-7637
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant