Healthcare Provider Details

I. General information

NPI: 1093146854
Provider Name (Legal Business Name): SCOTT HOFFMAN P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2013
Last Update Date: 02/19/2023
Certification Date: 02/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 GLADES RD STE 310
BOCA RATON FL
33431-6464
US

IV. Provider business mailing address

1001 NW 13TH ST STE 201
BOCA RATON FL
33486-2269
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-6631
  • Fax: 833-625-1632
Mailing address:
  • Phone: 561-955-6663
  • Fax: 561-955-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9107545
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: