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Individual

DARRELL ROSS HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2901 W SWANN AVE, TAMPA, FL 33609-4056
(913) 754-0467
(913) 341-5797
Mailing address
PO BOX 862506, ORLANDO, FL 32886-2506
(913) 754-0467
(913) 341-5797

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2594732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
305449700
FL
01
430064223
RAILROAD MEDICARE
01
593608942001
CHAMPUS/TRICARE
FL
01
G1548
BCBS
FL
Enumeration date
12/08/2005
Last updated
06/17/2008
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