Healthcare Provider Details

I. General information

NPI: 1770670457
Provider Name (Legal Business Name): MARCHELLE KAY HOFELDT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 11/02/2025
Certification Date: 11/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3745 11TH CIR STE 109
VERO BEACH FL
32960-4838
US

IV. Provider business mailing address

2082 SYKES CREEK DR
MERRITT ISLAND FL
32953-3065
US

V. Phone/Fax

Practice location:
  • Phone: 772-907-5640
  • Fax: 772-226-5375
Mailing address:
  • Phone: 321-848-8889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME 82565
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: