Hoffman, Lara Whitney
Hoffman, Lara Whitney is an sole proprietor health care provider with primary practice located at 100 Se 15Th Ave , Fort Lauderdale FL 33301-3985. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hoffman, Lara Whitney can be contacted via phone (954) 983-1899.Contact Information
Primary practice address
100 Se 15Th Ave
Fort Lauderdale FL 33301-3985
Phone: (954) 983-1899
Fax: (954) 318-3215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 9103896 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9103896 | Florida |
Profile Details
| NPI number | 1912040395 |
|---|---|
| LBN Legal business name | Hoffman, Lara Whitney |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Sep 22nd, 2022 - about 2 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 | 1912040395 | NPPES |
| Florida | MEDICAID | 021799300 |
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