MEDICARE: DR. KAREN RAMOS HOFMANN PH.D.

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	103TC1900X	Counseling Psychologist	PY5878	FL

General Provider Information

NPI Number	:	1881983351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN RAMOS HOFMANN PH.D.

Provider Business Mailing Address
First Line	:	3595 W LAKE MARY BLVD STE C
Second Line	:	DRIFTWOOD VILLAGE PLAZA
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6750
Country	:	US
Telephone Number	:	407-435-8885
Fax Number	:

Provider Business Practice Location Address
First Line	:	3595 W LAKE MARY BLVD STE C
Second Line	:	DRIFTWOOD VILLAGE PLAZA
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6750
Country	:	US
Telephone Number	:	407-435-8885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2011
Last Update Date	:	04/05/2011

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