Individual
MRS. KAREN R HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
905 PARK AVE, SUITE 100, ORANGE PARK, FL 32073-4101
(904) 264-1206
(904) 264-3685
Mailing address
905 PARK AVE, SUITE 100, ORANGE PARK, FL 32073-4101
(904) 264-1206
(904) 264-3685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36025
BCBS
FL
05
—
621322700
—
FL
01
—
P00768833
GROUP MEMBER PTAN
FL
Enumeration date
09/01/2006
Last updated
03/15/2019
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