Active NPI 1396709705 Individual Practitioner Male Practitioner

Dr. David A Hochberg , MD

Urology • Tampa, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Hochberg, MD is a certified Urology practicing in Tampa, FL. With approximately 31 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1995, Dr. Hochberg delivers high-quality medical care to the local community at 2708 W SAINT ISABEL ST.

Dr. Hochberg is affiliated with Florida Urology Partners Llp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include automated urinalysis test, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2708 W Saint Isabel St

Tampa, FL 336076320

Telephone 8138777434

Associated Practice Facility / Clinic

🏢 Bernard M. Hochberg, M.d., P.a Facility NPI 1295756427

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Tampa, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +11.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

66 Specialists

Practicing in Tampa, FL (1082 Statewide)

Telehealth Adoption Rate

56.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hochberg (31 Years) 31 Yrs

Tampa Specialty Average (19.6 Years) 19.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	985	580	$10.00	$2.19
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	628	452	$50.00	$16.06
99213 Established patient office or other outpatient visit, typically 15 minutes	619	466	$187.00	$87.66
51798 Ultrasound measurement of bladder capacity after voiding	447	320	$38.00	$10.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	293	$271.00	$123.41
36415 Insertion of needle into vein for collection of blood sample	147	122	$10.00	$8.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	104	88	$183.00	$76.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	102	102	$413.00	$163.59
52000 Diagnostic exam of bladder and urethra using an endoscope	99	80	$524.00	$222.99
51741 Electronic assessment of bladder emptying	54	50	$36.00	$12.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	46	$512.00	$165.99
74420 Imaging of urinary tract	28	25	$61.00	$23.43
76770 Complete ultrasound scan behind abdominal cavity	17	17	$272.00	$101.67
76872 Ultrasound scan of pelvic region through rectum	15	15	$384.00	$31.16
51702 Simple insertion of temporary bladder tube	14	13	$153.00	$59.59
55706 Needle stereotactic and image-guided biopsy of prostate gland	13	13	$959.00	$364.84
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1062.00	$407.07
76377 3D radiographic procedure with computerized image postprocessing	11	11	$95.00	$36.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	891	572	$10.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	589	395	$271.00	$125.51
99213 Established patient office or other outpatient visit, typically 15 minutes	467	386	$187.00	$88.44
51798 Ultrasound measurement of bladder capacity after voiding	402	279	$38.00	$10.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$413.00	$163.95
52000 Diagnostic exam of bladder and urethra using an endoscope	103	85	$524.00	$235.05
36415 Insertion of needle into vein for collection of blood sample	99	84	$10.00	$8.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	93	82	$263.00	$119.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	74	$512.00	$175.44
51741 Electronic assessment of bladder emptying	59	55	$36.00	$11.73
74420 Imaging of urinary tract	30	25	$77.00	$24.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	25	$183.00	$80.03
76770 Complete ultrasound scan behind abdominal cavity	26	25	$272.00	$106.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$269.00	$112.51
51797 Insertion of device into abdomen with pressure and urine flow rate study	22	21	$489.00	$187.57
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	22	21	$921.00	$357.19
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	22	21	$383.00	$31.96
76872 Ultrasound scan of pelvic region through rectum	16	16	$384.00	$32.09
55700 Biopsy of prostate gland	16	16	$613.00	$131.94
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$1899.32	$737.94
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$1175.00	$117.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	789	544	$10.00	$2.21
99213 Established patient office or other outpatient visit, typically 15 minutes	521	443	$159.90	$90.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	281	$237.84	$126.31
51798 Ultrasound measurement of bladder capacity after voiding	338	262	$37.91	$10.30
36415 Insertion of needle into vein for collection of blood sample	107	89	$10.00	$2.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$347.03	$169.57
52000 Diagnostic exam of bladder and urethra using an endoscope	70	51	$444.00	$243.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	56	$441.82	$200.33
76770 Complete ultrasound scan behind abdominal cavity	45	44	$248.91	$109.03
74420 Imaging of urinary tract	35	25	$147.49	$25.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	32	$247.24	$103.00
51741 Electronic assessment of bladder emptying	33	31	$32.61	$13.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	14	$1017.84	$124.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$241.63	$109.59
55700 Biopsy of prostate gland	18	18	$551.80	$133.37
76872 Ultrasound scan of pelvic region through rectum	16	16	$388.70	$32.77
52281 Dilation of bladder canal (urethra) using an endoscope	15	14	$615.80	$334.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$151.29	$72.20
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1777.67	$759.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$40.04	$21.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	889	584	$10.31	$2.24
99213 Established patient office or other outpatient visit, typically 15 minutes	543	452	$147.61	$92.01
51798 Ultrasound measurement of bladder capacity after voiding	445	321	$37.76	$10.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	260	$216.48	$130.83
36415 Insertion of needle into vein for collection of blood sample	147	112	$10.00	$3.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$323.99	$168.66
52000 Diagnostic exam of bladder and urethra using an endoscope	99	81	$414.21	$229.39
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	55	14	$1931.75	$53.87
76770 Complete ultrasound scan behind abdominal cavity	49	47	$229.41	$111.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	46	$412.00	$203.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	33	$146.00	$73.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	32	$213.92	$104.92
51741 Electronic assessment of bladder emptying	34	32	$32.37	$11.71
74420 Imaging of urinary tract	29	26	$147.21	$25.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	22	$981.50	$135.62
52281 Dilation of bladder canal (urethra) using an endoscope	21	21	$547.00	$338.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$233.20	$113.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	16	$44.68	$22.45
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	15	11	$64.00	$32.24
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	14	14	$2445.00	$212.33
55700 Biopsy of prostate gland	14	14	$428.79	$135.53
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$905.36	$416.78
76872 Ultrasound scan of pelvic region through rectum	13	13	$246.92	$33.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	927	579	$14.20	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	494	416	$146.16	$74.64
51798 Ultrasound measurement of bladder capacity after voiding	398	297	$37.99	$10.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	341	267	$214.84	$109.45
36415 Insertion of needle into vein for collection of blood sample	156	125	$10.00	$2.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$329.68	$164.61
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	88	16	$300.00	$223.52
52000 Diagnostic exam of bladder and urethra using an endoscope	83	64	$412.00	$210.05
76770 Complete ultrasound scan behind abdominal cavity	62	60	$225.00	$111.84
51720 Instillation of anti-cancer drug into bladder	54	13	$286.06	$83.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$412.00	$207.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	38	$145.10	$74.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	26	$211.00	$106.82
51741 Electronic assessment of bladder emptying	32	32	$32.00	$13.04
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	28	17	$64.00	$31.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	20	$967.00	$133.07
52005 Insertion of tube into ureter using an endoscope through bladder area	21	19	$532.00	$62.15
76872 Ultrasound scan of pelvic region through rectum	18	18	$186.00	$140.72
76872 Ultrasound scan of pelvic region through rectum	15	15	$187.83	$34.43
55700 Biopsy of prostate gland	15	15	$440.57	$139.49
52281 Dilation of bladder canal (urethra) using an endoscope	13	13	$562.91	$325.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$217.00	$108.39
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$871.00	$446.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,122	691	$14.26	$2.42
99213 Established patient office or other outpatient visit, typically 15 minutes	590	488	$146.00	$73.54
51798 Ultrasound measurement of bladder capacity after voiding	521	393	$38.00	$12.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	318	$215.00	$107.05
J0278 Injection, amikacin sulfate, 100 mg	272	20	$11.00	$1.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	163	153	$412.00	$203.18
36415 Insertion of needle into vein for collection of blood sample	152	119	$10.00	$2.94
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	148	24	$300.00	$224.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	128	66	$210.58	$104.77
52000 Diagnostic exam of bladder and urethra using an endoscope	106	86	$412.00	$185.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$332.00	$164.25
76770 Complete ultrasound scan behind abdominal cavity	55	53	$225.00	$109.84
52332 Insertion of stent in urinary duct (ureter) using an endoscope	53	39	$956.30	$134.79
51741 Electronic assessment of bladder emptying	50	48	$32.00	$12.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$417.00	$203.33
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	22	$64.00	$29.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	34	$145.10	$73.33
52005 Insertion of tube into ureter using an endoscope through bladder area	36	27	$533.67	$72.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	25	$40.00	$22.16
52281 Dilation of bladder canal (urethra) using an endoscope	33	31	$547.00	$298.32
76872 Ultrasound scan of pelvic region through rectum	24	24	$186.00	$124.31
55700 Biopsy of prostate gland	20	20	$441.00	$249.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$217.00	$108.08
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$871.00	$470.03
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	14	12	$634.00	$299.97
51701 Insertion of temporary bladder tube	12	11	$115.06	$44.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,215	753	$13.12	$2.69
99213 Established patient office or other outpatient visit, typically 15 minutes	808	603	$146.00	$72.08
51798 Ultrasound measurement of bladder capacity after voiding	725	486	$38.00	$15.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	469	335	$215.00	$105.13
36415 Insertion of needle into vein for collection of blood sample	151	124	$10.00	$2.94
J0278 Injection, amikacin sulfate, 100 mg	138	12	$11.00	$1.19
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	108	20	$288.80	$209.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	96	$412.00	$204.31
52000 Diagnostic exam of bladder and urethra using an endoscope	88	76	$412.00	$159.95
51741 Electronic assessment of bladder emptying	88	84	$32.00	$13.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$332.44	$162.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	75	75	$417.00	$207.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	35	$211.00	$104.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	14	$50.00	$20.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	40	$146.00	$73.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	25	$81.00	$39.59
76770 Complete ultrasound scan behind abdominal cavity	52	51	$225.00	$110.92
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	21	$64.00	$29.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	34	26	$933.65	$121.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$217.00	$107.67
74420 Imaging of urinary tract	21	19	$234.00	$17.61
52281 Dilation of bladder canal (urethra) using an endoscope	20	20	$547.00	$274.14
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	17	$871.00	$422.89
51701 Insertion of temporary bladder tube	17	15	$115.06	$47.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	14	$40.00	$21.02
52005 Insertion of tube into ureter using an endoscope through bladder area	14	13	$536.30	$70.91
76872 Ultrasound scan of pelvic region through rectum	12	12	$186.00	$94.35
55700 Biopsy of prostate gland	12	12	$441.00	$249.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$122.00	$59.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	1,206	685	$10.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	611	474	$146.00	$71.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	466	313	$215.00	$105.43
51798 Ultrasound measurement of bladder capacity after voiding	411	276	$38.00	$18.56
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	150	22	$300.00	$208.17
36415 Insertion of needle into vein for collection of blood sample	149	120	$10.00	$2.92
51741 Electronic assessment of bladder emptying	99	95	$32.00	$14.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	90	90	$417.00	$203.82
52000 Diagnostic exam of bladder and urethra using an endoscope	88	68	$412.00	$161.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	45	$81.00	$39.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$332.00	$163.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	62	$412.00	$203.34
76770 Complete ultrasound scan behind abdominal cavity	52	51	$225.00	$110.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	49	23	$64.00	$31.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	18	$40.00	$19.68
52281 Dilation of bladder canal (urethra) using an endoscope	31	30	$547.00	$262.54
74420 Imaging of urinary tract	27	23	$229.04	$16.70
76872 Ultrasound scan of pelvic region through rectum	20	20	$186.00	$92.63
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	15	$871.00	$407.95
55700 Biopsy of prostate gland	19	19	$441.00	$246.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$122.00	$59.31
51701 Insertion of temporary bladder tube	17	12	$115.06	$47.16
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	12	$967.00	$121.82
J1580 Injection, garamycin, gentamicin, up to 80 mg	15	15	$3.00	$1.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$290.00	$143.13
76857 Limited ultrasound scan of pelvis	11	11	$194.00	$44.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$253.36	$107.20

Medical Specialties & State Licenses

CMS Verified: 2021-09-26

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME83201

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

263684100 (FL)

Hospital & Practice Group Affiliations

Florida Urology Partners Llp

8001 N Dale Mabry Hwy, Tampa, FL 336143290

Phone: 8138755855

Florida Urology Partners Llp

4211 Van Dyke Rd, Lutz, FL 335588005

Phone: 81335601961400

Florida Urology Partners Llp

2708 W Saint Isabel St, Tampa, FL 336076320

Phone: 8138777434

Florida Urology Partners Llp

12408 N 56th St, Temple Terrace, FL 336171522

Phone: 8139803104

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Grace Roberts , PA-C

Physician Assistant

NPI 1134980386

Physician Assistant (Certified)

Dr. Luke Sebel , MD, PhD

Urology

NPI 1154718898

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Drew Palmer , MD

Urology

NPI 1174818710

Doctor of Medicine (M.D.)

Holley Conte , APRN

Nurse Practitioner - Family

NPI 1215727565

Advanced Practice Registered Nurse

Jamie Doone , PA

Physician Assistant

NPI 1679133847

Physician Assistant

Lindsey Maass , PA-C

Physician Assistant

NPI 1831710219

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2021

Urology (License #ME83201 in FL)

✅

NPI Profile Active March 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 19, 2012

Registered at 2708 W SAINT ISABEL ST, TAMPA, FL 336076320 (Tel: 8138777434)

📍

Updated Business Mailing Address March 19, 2012

Registered at 2708 W ST ISABEL ST, TAMPA, FL 336076320 (Tel: 8138777434)

👤

Provider Name / Credentials Updated March 19, 2012

Recorded as DAVID HOCHBERG, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2012

Specialist (License #ME83201 in FL)

🟢

Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396709705

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2006

Last Update: September 26, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2708 W St Isabel St

Tampa, FL 336076320

Phone: 8138777434

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.