Provider Demographics
NPI:1093040891
Name:HOFFMANN, SUSAN (CPD)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10111 W SUNRISE BLVD
Mailing Address - Street 2:#102
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-7608
Mailing Address - Country:US
Mailing Address - Phone:954-791-1174
Mailing Address - Fax:
Practice Address - Street 1:10111 W SUNRISE BLVD
Practice Address - Street 2:#102
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-7608
Practice Address - Country:US
Practice Address - Phone:954-791-1174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula