Healthcare Provider Details

I. General information

NPI: 1437202256
Provider Name (Legal Business Name): BOAZ ZEEV HOFFMAN LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 01/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3402 GRIFFIN RD
FORT LAUDERDALE FL
33312-5564
US

IV. Provider business mailing address

5961 SW 37TH AVE
FORT LAUDERDALE FL
33312-6234
US

V. Phone/Fax

Practice location:
  • Phone: 954-237-1358
  • Fax: 954-534-7898
Mailing address:
  • Phone: 954-235-8663
  • Fax: 954-962-9490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2852
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2746
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: