Provider Demographics
NPI:1477029007
Name:HOFFMAN, JARED LOREN (DC)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:LOREN
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3491 W WOOLBRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-7247
Mailing Address - Country:US
Mailing Address - Phone:561-736-0000
Mailing Address - Fax:561-733-4448
Practice Address - Street 1:3491 W WOOLBRIGHT RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-7247
Practice Address - Country:US
Practice Address - Phone:561-736-0000
Practice Address - Fax:561-733-4448
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor