Healthcare Provider Details

I. General information

NPI: 1366491573
Provider Name (Legal Business Name): MATTHEW L HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 04/21/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEMORIAL REGIONAL PEMBROKE 7800 SHERIDAN STREET
PEMBROKE PINES FL
33024-2536
US

IV. Provider business mailing address

500 N HIATUS RD STE 200
PEMBROKE PINES FL
33026-5213
US

V. Phone/Fax

Practice location:
  • Phone: 954-967-2051
  • Fax:
Mailing address:
  • Phone: 954-437-4800
  • Fax: 954-437-6628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberME98274
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number227245
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: