Healthcare Provider Details

I. General information

NPI: 1366486870
Provider Name (Legal Business Name): MITCHEL SCOTT HOFFMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 04/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 TAMPA GENERAL CIR FL 4 DIVISION OF GYNECOLOGIC ONCOLOGY
TAMPA FL
33606-3603
US

IV. Provider business mailing address

2 TAMPA GENERAL CIR FL 6 USF DEPT. OF OB/GYN
TAMPA FL
33606-3603
US

V. Phone/Fax

Practice location:
  • Phone: 813-259-8597
  • Fax: 813-259-8593
Mailing address:
  • Phone: 813-259-8527
  • Fax: 813-259-0807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberME 41939
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: