Healthcare Provider Details
I. General information
NPI: 1730481896
Provider Name (Legal Business Name): MR. WILLIAM FLINN HOFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/23/2010
Last Update Date: 04/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US
IV. Provider business mailing address
4161 CARMICHAEL AVE SUITE 150, BUILDING 3300
JACKSONVILLE FL
32207-2353
US
V. Phone/Fax
- Phone: 352-376-1611
- Fax:
- Phone: 904-396-8750
- Fax: 904-396-8759
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: