Healthcare Provider Details

I. General information

NPI: 1679841035
Provider Name (Legal Business Name): MARSHA HOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2011
Last Update Date: 12/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 S MCCALL RD
ENGLEWOOD FL
34224-5049
US

IV. Provider business mailing address

2240 S MCCALL RD
ENGLEWOOD FL
34224-5049
US

V. Phone/Fax

Practice location:
  • Phone: 941-548-1148
  • Fax: 888-736-8693
Mailing address:
  • Phone: 941-548-1148
  • Fax: 888-736-8693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA59107
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: