| NPI | 1104853498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD B HOFFMAN Owner 772-335-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0032775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9293900) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9236500) | |
| 174400000X Specialist (Licence: FL ME842328) | |
| 174400000X Specialist (Licence: FL ME93466) | |
| 207Q00000X Family Medicine (Licence: FL 028759) | |
| 207Q00000X Family Medicine (Licence: FL OS8311) | |
| 363L00000X Nurse Practitioner (Licence: FL RN2784382) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-12-17 |