Basic Information
Provider Information
NPI: 1457949067
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOCHMAN
FirstName: MELANIE
MiddleName: LISE
NamePrefix: MISS
NameSuffix:  
Credential: AGACNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2415 N ORANGE AVE STE 700
Address2:  
City: ORLANDO
State: FL
PostalCode: 328045521
CountryCode: US
TelephoneNumber: 4073032474
FaxNumber: 4073030680
Practice Location
Address1: 4450 MEDICAL DR FL 1
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782293710
CountryCode: US
TelephoneNumber: 2105753817
FaxNumber: 2105754113
Other Information
ProviderEnumerationDate: 01/08/2021
LastUpdateDate: 09/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X1089758TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2100X218089LAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LG0600XAPRN11012854FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LG0600X1089758TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363L00000X1089758TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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