Healthcare Provider Details

I. General information

NPI: 1821363961
Provider Name (Legal Business Name): DONNA LEIGH HOFFMAN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 03/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12880 COMMODITY PL
TAMPA FL
33626-3101
US

IV. Provider business mailing address

12880 COMMODITY PL
TAMPA FL
33626-3101
US

V. Phone/Fax

Practice location:
  • Phone: 813-865-1340
  • Fax: 813-343-5506
Mailing address:
  • Phone: 813-865-1340
  • Fax: 813-343-5506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberR165293
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: