Healthcare Provider Details

I. General information

NPI: 1245730373
Provider Name (Legal Business Name): MORGAN LEIGH HOFFMAN DPT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13817 W HILLSBOROUGH AVE
TAMPA FL
33635-9655
US

IV. Provider business mailing address

12001 DR MARTIN LUTHER KING JR ST N APT 2602
SAINT PETERSBURG FL
33716-1604
US

V. Phone/Fax

Practice location:
  • Phone: 813-849-0150
  • Fax:
Mailing address:
  • Phone: 814-706-8955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number39149
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: