MEDICARE: DANIELLE AMARILIS HOF

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	247200000X	Other Technician	H100161948070	FL

General Provider Information

NPI Number	:	1457803967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE AMARILIS HOF

Provider Business Mailing Address
First Line	:	5727 BAYWATER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3568
Country	:	US
Telephone Number	:	813-466-2841
Fax Number	:

Provider Business Practice Location Address
First Line	:	5727 BAYWATER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-3568
Country	:	US
Telephone Number	:	813-466-2841
Fax Number	:

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

Provider Enumeration Date	:	11/01/2016
Last Update Date	:	11/01/2016

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