Individual
BRENDA HOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
455 PINELLAS ST, SUITE 320, CLEARWATER, FL 33756-3369
(727) 446-2273
(727) 441-4966
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA12495
CA
363AS0400X
Surgical Physician Assistant
Primary
PA9107934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012335200
—
FL
01
—
970026278
RAILROAD MEDICARE
—
05
—
GR0087650
—
CA
01
—
ZZZ07779Z
BLUE SHIELD
CA
Enumeration date
05/24/2005
Last updated
03/24/2016
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