Healthcare Provider Details

I. General information

NPI: 1427709609
Provider Name (Legal Business Name): MRS. SEMIRA HOFFMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SEMIRA HOFFMANN

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 01/10/2022
Certification Date: 01/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11840 108TH CT
SEMINOLE FL
33778-3616
US

IV. Provider business mailing address

10860 118TH ST
SEMINOLE FL
33778-3625
US

V. Phone/Fax

Practice location:
  • Phone: 727-394-9624
  • Fax:
Mailing address:
  • Phone: 727-394-9624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: