MEDICARE: JEFFREY S HOFFMAN DC PA

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1336307057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY S HOFFMAN DC PA

Provider Business Mailing Address
First Line	:	6542 NEWPORT LAKE CIR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-3001
Country	:	US
Telephone Number	:	561-736-0000
Fax Number	:	561-733-4448

Provider Business Practice Location Address
First Line	:	6542 NEWPORT LAKE CIR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-3001
Country	:	US
Telephone Number	:	561-271-4187
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY S HOFFMAN
Credential	:	DC
Telephone Number	:	561-736-0000

Provider Enumeration Date	:	05/29/2008
Last Update Date	:	05/30/2008

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