Healthcare Provider Details

I. General information

NPI: 1033648977
Provider Name (Legal Business Name): EVA DENA HOFFMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 SE 3RD AVE STE 415-A
FORT LAUDERDALE FL
33316-2591
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FORT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-958-9959
  • Fax: 855-855-2793
Mailing address:
  • Phone: 954-958-9959
  • Fax: 855-855-2793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME163189
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME163189
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: