Provider Demographics
NPI:1083710966
Name:DR. DEBRA L. HOFFMAN CHIROPRACTIC CENTRE, PA
Entity Type:Organization
Organization Name:DR. DEBRA L. HOFFMAN CHIROPRACTIC CENTRE, PA
Other - Org Name:HOFFMAN CHIROPRACTIC CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:813-985-1322
Mailing Address - Street 1:11802 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1652
Mailing Address - Country:US
Mailing Address - Phone:813-985-1322
Mailing Address - Fax:813-985-5967
Practice Address - Street 1:11802 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1652
Practice Address - Country:US
Practice Address - Phone:813-985-1322
Practice Address - Fax:813-985-5967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty