Provider Demographics
NPI:1437219490
Name:HOFFMAN, RONALD FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:FRANK
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10124 DEERCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2936
Mailing Address - Country:US
Mailing Address - Phone:813-569-7783
Mailing Address - Fax:813-929-3214
Practice Address - Street 1:10124 DEERCLIFF DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2936
Practice Address - Country:US
Practice Address - Phone:813-569-7783
Practice Address - Fax:813-929-3214
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMD000209792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAO4740Medicare UPIN