Provider Demographics
NPI:1396709705
Name:HOCHBERG, DAVID A (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:HOCHBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2708 W ST ISABEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6320
Mailing Address - Country:US
Mailing Address - Phone:813-877-7434
Mailing Address - Fax:
Practice Address - Street 1:2708 W SAINT ISABEL ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6320
Practice Address - Country:US
Practice Address - Phone:813-877-7434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2021-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83201208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263684100Medicaid
FL05232ZMedicare ID - Type Unspecified
FLH46158Medicare UPIN