Healthcare Provider Details

I. General information

NPI: 1699376525
Provider Name (Legal Business Name): HOFFMANN HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2020
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 SEMORAN BLVD STE 1000
CASSELBERRY FL
32707-5341
US

IV. Provider business mailing address

515 SEMORAN BLVD STE 1000
CASSELBERRY FL
32707-5341
US

V. Phone/Fax

Practice location:
  • Phone: 352-256-5148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS HOFFMANN
Title or Position: DENTIST OWNER
Credential:
Phone: 352-256-5148