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NPI Code Detail

MEDICARE: MATTHEW L HOFFMAN M.D.

MEDICARE: MATTHEW L HOFFMAN M.D.
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
12085B0100XBody Imaging PhysicianME98274FL
22085R0202XDiagnostic Radiology Physician227245MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195296OTHERFLBCBSFL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366491573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW L HOFFMAN M.D.
Provider Business Mailing Address
First Line : 500 N HIATUS RD STE 200
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33026-5213
Country : US
Telephone Number : 954-437-4800
Fax Number : 954-437-6628
Provider Business Practice Location Address
First Line : MEMORIAL REGIONAL PEMBROKE
Second Line : 7800 SHERIDAN STREET
City : PEMBROKE PINES
State : FL
Zip : 33024-2536
Country : US
Telephone Number : 954-967-2051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 04/21/2022

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