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NPI Code Detail

MEDICARE: ANDREA L HOFF PA-C

MEDICARE: ANDREA L HOFF PA-C
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
1363AM0700XMedical Physician AssistantPA9106911FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA9106911OTHERMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801149984
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA L HOFF PA-C
Provider Business Mailing Address
First Line : 6555 CHESTER AVE STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2279
Country : US
Telephone Number : 904-265-8209
Fax Number :
Provider Business Practice Location Address
First Line : 6555 CHESTER AVE STE 1
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2279
Country : US
Telephone Number : 904-265-8209
Fax Number : 904-503-3577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2012
Last Update Date : 04/06/2017

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Directions to “ ANDREA L HOFF PA-C” Practice Location

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