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Individual

PAUL BRYAN HOFRICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
10475 CENTRUION PARKWAY, N., SUITE 220, JACKSONVILLE, FL 32256
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(904) 634-0203

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9204031
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191209086A
GA
05
191209086B
GA
Enumeration date
05/11/2010
Last updated
10/06/2023
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