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Individual

BRIAN HOCKENSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1944 SR 44, NEW SMYRNA BEACH, FL 32168
(386) 428-3241
(844) 295-1379
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(813) 654-7005
(813) 654-1050

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ARNP9208291
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9208291
FL
363LA2200X
Adult Health Nurse Practitioner
R133985
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001463000
FL
Enumeration date
07/05/2005
Last updated
11/29/2021
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