Healthcare Provider Details

I. General information

NPI: 1841676863
Provider Name (Legal Business Name): MICHAEL ALAN HOFFLER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 SE 17TH ST
OCALA FL
34471-4421
US

IV. Provider business mailing address

303 SE 17TH ST
OCALA FL
34471-4421
US

V. Phone/Fax

Practice location:
  • Phone: 352-368-2921
  • Fax:
Mailing address:
  • Phone: 352-368-2921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS53755
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: