Individual
MEAGHAN E HOFSTAEDTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3040
(321) 841-3049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
MI
363AS0400X
Surgical Physician Assistant
Primary
PA9109011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004224100
—
FL
01
—
OD14869
GROUP PTAN
MI
Enumeration date
10/27/2011
Last updated
11/18/2015
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