Hoffman, Derek Adam
Hoffman, Derek Adam is an sole proprietor health care provider with primary practice located at 1406 Kingsley Ave Ste B , Orange Park FL 32073-4528. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Hoffman, Derek Adam can be contacted via phone (904) 264-4519.Contact Information
Primary practice address
1406 Kingsley Ave Ste B
Orange Park FL 32073-4528
Phone: (904) 264-4519
Fax: (904) 264-4510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 20979 | Florida |
Profile Details
| NPI number | 1770847873 |
|---|---|
| LBN Legal business name | Hoffman, Derek Adam |
| Credentials | D.M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2012 |
| Last updated | Jul 7th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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