Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | ARNP991872 | FL |
NPI | 1972895126 |
---|---|
Provider Name | Peggy Hoff |
First Address | Jacksonville, FL 32202-2847 |
Second Address | Jacksonville, FL 32202-2847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 05/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3976000 | (05) | FL |