MEDICARE: WILLIAM S HOFFMEISTER D.C.

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	CH7807	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	118300	OTHER	FL	AMERIGROUP
2	245138	OTHER	FL	WELLCARE
3	285910	OTHER	FL	AVMED
4	55971	OTHER	FL	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760446504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM S HOFFMEISTER D.C.

Provider Business Mailing Address
First Line	:	707 E OAK RIDGE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4204
Country	:	US
Telephone Number	:	407-855-7199
Fax Number	:	407-855-7237

Provider Business Practice Location Address
First Line	:	707 E OAK RIDGE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-4204
Country	:	US
Telephone Number	:	407-855-7199
Fax Number	:	407-855-7237

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	11/06/2007

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