MEDICARE: VINCENT JAMES HOFFMAN DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1144178393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINCENT JAMES HOFFMAN DO

Provider Business Mailing Address
First Line	:	655 W 8TH ST # C72
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-244-4195
Fax Number	:	904-244-1270

Provider Business Practice Location Address
First Line	:	655 W 8TH ST # C72
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-244-4195
Fax Number	:	904-244-1270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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