MEDICARE: RONALD J HOFFMAN DCPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH00001546	WA
2	111N00000X	Chiropractor	CH01513	FL

General Provider Information

NPI Number	:	1700853611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD J HOFFMAN DCPA

Provider Business Mailing Address
First Line	:	1224 OCALA RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-1548
Country	:	US
Telephone Number	:	850-576-2129
Fax Number	:	850-576-9602

Provider Business Practice Location Address
First Line	:	1224 OCALA RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-1548
Country	:	US
Telephone Number	:	850-576-2129
Fax Number	:	850-576-9602

Authorized Official
Title or Position	:	PRES CEO
Name	:	DR. RONALD J HOFFMAN
Credential	:	DC
Telephone Number	:	850-576-2129

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	08/22/2020

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