Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9300231 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | ARNP9300231 | FL |
N | 363LX0106X | Nurse Practitioner - Occupational Health | ARNP9300231 | FL |
NPI | 1083066070 |
---|---|
Provider Name | Melina Davita Hoffman |
First Address | Bartow, FL 33830-5064 |
Second Address | Bartow, FL 33830-5064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2016 |
Last Update Date | 20/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4917688927 | NATIONAL REGISTRY (01) | |
ARNP9300231 | FLORIDA DOH (01) | FL |