Provider Demographics
NPI:1366486870
Name:HOFFMAN, MITCHEL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHEL
Middle Name:SCOTT
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 TAMPA GENERAL CIR FL 6
Mailing Address - Street 2:USF DEPT. OF OB/GYN
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3603
Mailing Address - Country:US
Mailing Address - Phone:813-259-8527
Mailing Address - Fax:813-259-0807
Practice Address - Street 1:2 TAMPA GENERAL CIR FL 4
Practice Address - Street 2:DIVISION OF GYNECOLOGIC ONCOLOGY
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3603
Practice Address - Country:US
Practice Address - Phone:813-259-8597
Practice Address - Fax:813-259-8593
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 41939207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL30767OtherBCBS
FL040607400Medicaid
FL30767YMedicare PIN
FL30767OtherBCBS
FL040607400Medicaid