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Individual

DR. AMBER M HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD417114
PA
208000000X
Pediatrics Physician
2009021584
MO
208000000X
Pediatrics Physician
Primary
ME129557
FL
208M00000X
Hospitalist Physician
ME129557
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019188400
FL
05
1895307
PA
01
200616810A
MEDICAID KMAP ID
KS
Enumeration date
02/14/2006
Last updated
03/13/2017
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