Healthcare Provider Details

I. General information

NPI: 1568953974
Provider Name (Legal Business Name): KRISTY HOFFMANN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5458 TOWN CENTER RD
BOCA RATON FL
33486-1089
US

IV. Provider business mailing address

9005 SADDLECREEK DR
BOCA RATON FL
33496-1890
US

V. Phone/Fax

Practice location:
  • Phone: 561-376-2573
  • Fax:
Mailing address:
  • Phone: 305-775-5371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA12903
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: