Individual
GEORGE C HOCHREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
150 SOUTHPARK BLVD, #102, ST AUGUSTINE, FL 32086-5190
(904) 823-3764
(904) 823-8967
Mailing address
150 SOUTHPARK BLVD, #102, ST AUGUSTINE, FL 32086-5190
(904) 823-3764
(904) 823-8967
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS004077L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000898510
—
PA
01
—
211083
JOHNS HOPKINS
PA
01
—
4558489
AETNA
PA
01
—
883201
CAREFIRST MD BCBS
MD
01
—
911567
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/05/2006
Last updated
04/29/2011
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