MEDICARE: LAINIE I HOFFMAN PA-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	363A00000X	Physician Assistant	PA07603	TX

General Provider Information

NPI Number	:	1821391582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAINIE I HOFFMAN PA-C

Provider Business Mailing Address
First Line	:	9897 HAGEN RANCH RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6700
Country	:	US
Telephone Number	:	561-364-7774
Fax Number	:

Provider Business Practice Location Address
First Line	:	9897 HAGEN RANCH RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6700
Country	:	US
Telephone Number	:	561-364-7774
Fax Number	:

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

Provider Enumeration Date	:	12/17/2010
Last Update Date	:	12/25/2025

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