| Kent S Hoffman Do Pa | |
|
406 Lake Howell Rd Maitland FL 32751-5907 | |
| (407) 691-3960 | |
| (407) 691-3961 |
| Full Name | Kent S Hoffman Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 406 Lake Howell Rd, Maitland, Florida |
| Authorized Official Name and Position | Kent S Hoffman (PHYSICIAN) |
| Authorized Official Contact | 4076913960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent S Hoffman Do Pa 406 Lake Howell Rd Maitland FL 32751-5907 Ph: (407) 691-3960 | Kent S Hoffman Do Pa 406 Lake Howell Rd Maitland FL 32751-5907 Ph: (407) 691-3960 |
| NPI Number | 1285827378 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 3678658267 |
|---|---|
| Medicare Enrollment ID | O20080306000379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285827378 | NPI | - | NPPES |
| OS5722 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kent S Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396711289 PECOS PAC ID: 9638259385 Enrollment ID: I20080107000798 |
| Provider Name | Emily Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982034781 PECOS PAC ID: 1052532801 Enrollment ID: I20141021001557 |
| Provider Name | Brittany L Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881180503 PECOS PAC ID: 3971849498 Enrollment ID: I20190103003029 |
| Provider Name | Allison A Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508471459 PECOS PAC ID: 3274952528 Enrollment ID: I20201006001312 |
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