Hoffman, Matthew Henry

Hoffman, Matthew Henry is an individual health care provider with primary practice located at 775 W Granada Blvd Ste 102 , Ormond Beach FL 32174-5109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hoffman, Matthew Henry can be contacted via phone (386) 425-4480.

Contact Information

Primary practice address
775 W Granada Blvd Ste 102 Ormond Beach FL 32174-5109
Phone: (386) 425-4480
Fax: (386) 425-4481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103102 Florida

Profile Details

NPI number 1437206711
LBN Legal business name Hoffman, Matthew Henry
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Feb 19th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437206711 NPPES
Florida Other PA9103102 PA LICENSE

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