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General NPI Number Information
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NPI Number | 1366485799
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Entity Type | Individual
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Provider Name | BENJAMIN R HOFFMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 747 PONCE DE LEON BLVD
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City | CORAL GABLES
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State | FL
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Zip | 33134-2049
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Country | US
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Telephone | 954-531-5360
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Fax | 305-774-9131
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Provider Business Mailing Address
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Address Line | 3908 LEAFY WAY
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City | MIAMI
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State | FL
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Zip | 33133-6438
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Country | US
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Telephone | 954-531-5360
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Fax | 305-774-9121
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME87293
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0068356
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License Number State | MD
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