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1366491573 NPI number — MATTHEW L HOFFMAN M.D.

NPI Number: 1366491573
Health Care Provider/Practitioner: MATTHEW L HOFFMAN M.D.

Information about “1366491573” NPI (MATTHEW L HOFFMAN M.D.) exists in 1366491573 in HTML format HTML  |  1366491573 in plain Text format TXT  |  1366491573 in PDF (Portable Document Format) PDF  |  1366491573 in an XML format XML  formats.

NPI Number : 1366491573 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366491573",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOFFMAN",
    "FirstName": "MATTHEW",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "500 N HIATUS RD STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEMBROKE PINES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33026-5213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-437-4800",
    "MailingAddressFaxNumber": "954-437-6628",
    "FirstLinePracticeLocationAddress": "MEMORIAL REGIONAL PEMBROKE",
    "SecondLinePracticeLocationAddress": "7800 SHERIDAN STREET",
    "PracticeLocationAddressCityName": "PEMBROKE PINES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33024-2536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-967-2051",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2006",
    "LastUpdateDate": "04/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085B0100X",
          "TaxonomyName": "Body Imaging Physician",
          "LicenseNumber": "ME98274",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "227245",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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