MEDICARE: DR. ROY ALLEN 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
1	2083X0100X	Occupational Medicine Physician	0101235655	VA
2	2083A0100X	Aerospace Medicine Physician	0101235655	VA

General Provider Information

NPI Number	:	1386615557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY ALLEN HOFFMAN M.D.

Provider Business Mailing Address
First Line	:	220 HOVEY RD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32508-1044
Country	:	US
Telephone Number	:	757-675-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 5TH ST BLDG 840
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45433-7951
Country	:	US
Telephone Number	:	937-938-2703
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	04/27/2022

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