Healthcare Provider Details
I. General information
NPI: 1477564169
Provider Name (Legal Business Name): MICHAEL HOFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/10/2006
Last Update Date: 01/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8955 SW 87TH COURT
MIAMI FL
33176
US
IV. Provider business mailing address
8955 SW 87TH COURT
MIAMI FL
33176
US
V. Phone/Fax
- Phone: 305-274-1920
- Fax: 305-274-3804
- Phone: 305-274-1920
- Fax: 305-274-3804
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 0949066 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | 29394 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: