Healthcare Provider Details

I. General information

NPI: 1851398648
Provider Name (Legal Business Name): CRAIG B. HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 CORTEZ RD W
BRADENTON FL
34210-3104
US

IV. Provider business mailing address

3501 CORTEZ RD W
BRADENTON FL
34210-3104
US

V. Phone/Fax

Practice location:
  • Phone: 941-752-2700
  • Fax: 941-752-2730
Mailing address:
  • Phone: 941-752-2700
  • Fax: 941-752-2730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME24689
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: