Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | ME 41939 | FL |
NPI | 1366486870 |
---|---|
Provider Name | Dr. Mitchel Scott Hoffman |
First Address | Tampa, FL 33606-3603 |
Second Address | Tampa, FL 33606-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 20/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040607400 | (05) | FL |
30767 | BCBS (01) | FL |
D62214 | (02) | FL |