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Individual

DR. PAUL S HOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-5595
(321) 434-1771
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101231076
VA
208600000X
Surgery Physician
Primary
ME171359
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007308116
VA
01
020050249
MEDICARE RAILROAD
VA
05
129586200
FL
01
287018
ANTHEM
VA
01
42114
SENTARA
VA
01
89065C6
MEDICAID OF NC
NC
01
D388
MEDICARE PTAN
VA
01
WR833
HFMG
FL
Enumeration date
07/11/2005
Last updated
03/09/2026
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