Healthcare Provider Details

I. General information

NPI: 1467984104
Provider Name (Legal Business Name): HOFFMAN CHIROPRACTIC WELLNESS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 HIGHWAY 44 W
INVERNESS FL
34453-3860
US

IV. Provider business mailing address

2220 HIGHWAY 44 W
INVERNESS FL
34453-3860
US

V. Phone/Fax

Practice location:
  • Phone: 352-897-5293
  • Fax: 352-897-5307
Mailing address:
  • Phone: 352-897-5293
  • Fax: 352-897-5307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8594
License Number StateFL

VIII. Authorized Official

Name: KEVIN HOFFMAN
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential: DC
Phone: 352-897-5293