Healthcare Provider Details

I. General information

NPI: 1548402068
Provider Name (Legal Business Name): LEXIE MELAINE HOFFMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 10/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2776 CLEVELAND AVE
FORT MYERS FL
33901-5856
US

IV. Provider business mailing address

1505 PALOMA DR
FORT MYERS FL
33901-6823
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-2302
  • Fax:
Mailing address:
  • Phone: 678-982-2276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number053270
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS49785
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17407
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: