Healthcare Provider Details

I. General information

NPI: 1881983351
Provider Name (Legal Business Name): KAREN RAMOS HOFMANN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 W LAKE MARY BLVD STE C DRIFTWOOD VILLAGE PLAZA
LAKE MARY FL
32746-6750
US

IV. Provider business mailing address

3595 W LAKE MARY BLVD STE C DRIFTWOOD VILLAGE PLAZA
LAKE MARY FL
32746-6750
US

V. Phone/Fax

Practice location:
  • Phone: 407-435-8885
  • Fax:
Mailing address:
  • Phone: 407-435-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY5878
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: