Healthcare Provider Details

I. General information

NPI: 1568179133
Provider Name (Legal Business Name): BRITTANY HOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 10TH ST
SARASOTA FL
34236-4048
US

IV. Provider business mailing address

3500 PEMBROOK DR
SARASOTA FL
34239-6705
US

V. Phone/Fax

Practice location:
  • Phone: 941-366-5333
  • Fax:
Mailing address:
  • Phone: 352-789-7125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH21484
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: