Healthcare Provider Details

I. General information

NPI: 1538578570
Provider Name (Legal Business Name): CARA HOFFER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3529 NORTH PINE ISLAND ROAD
SUNRISE FL
33351-6638
US

IV. Provider business mailing address

3529 NORTH PINE ISLAND ROAD
SUNRISE FL
33351-6638
US

V. Phone/Fax

Practice location:
  • Phone: 954-741-2221
  • Fax: 954-741-2155
Mailing address:
  • Phone: 954-741-2221
  • Fax: 954-741-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT29514
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: