MEDICARE: VICTORIA HOFF-JOINVILLE D.O.

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	207Q00000X	Family Medicine Physician	OS8752	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225030539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA HOFF-JOINVILLE D.O.

Provider Business Mailing Address
First Line	:	86252 RIVERWOOD DR
Second Line	:
City	:	YULEE
State	:	FL
Zip	:	32097-3482
Country	:	US
Telephone Number	:	904-225-2460
Fax Number	:

Provider Business Practice Location Address
First Line	:	2032 DUNN AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-4716
Country	:	US
Telephone Number	:	904-757-2008
Fax Number	:	904-757-4623

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/10/2008

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