Hoffman, Karen R
Hoffman, Karen R is an individual health care provider with primary practice located at 905 Park Ave Suite 100, Orange Park FL 32073-4101. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hoffman, Karen R can be contacted via phone (904) 264-1206.Contact Information
Primary practice address
905 Park Ave Suite 100
Orange Park FL 32073-4101
Phone: (904) 264-1206
Fax: (904) 264-3685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC4149 | Florida |
Profile Details
| NPI number | 1558463588 |
|---|---|
| LBN Legal business name | Hoffman, Karen R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Mar 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558463588 | NPPES |
| Florida | Other | P00768833 | GROUP MEMBER PTAN |
| Florida | Other | 36025 | GROUP MEMBER PTAN |
| Florida | MEDICAID | 621322700 | GROUP MEMBER PTAN |
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