Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | OS10277 | FL |
NPI | 1326157710 |
---|---|
Provider Name | Leonard R Hock JR. |
First Address | West Palm Beach, FL 33407-2387 |
Second Address | West Palm Beach, FL 33407-2387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 28/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AL103Y | MEDICARE TPAN (01) | FL |