Provider Demographics
NPI:1437202256
Name:HOFFMAN, BOAZ ZEEV (LAC)
Entity Type:Individual
Prefix:DR
First Name:BOAZ
Middle Name:ZEEV
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5961 SW 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6234
Mailing Address - Country:US
Mailing Address - Phone:954-235-8663
Mailing Address - Fax:954-962-9490
Practice Address - Street 1:3402 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5564
Practice Address - Country:US
Practice Address - Phone:954-237-1358
Practice Address - Fax:954-534-7898
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2852171100000X
FLAP2746171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist