Provider Demographics
NPI:1578525069
Name:HOFFMAN, DONALD BROOKS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:BROOKS
Last Name:HOFFMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 NW FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9631
Mailing Address - Country:US
Mailing Address - Phone:772-324-5400
Mailing Address - Fax:772-934-6342
Practice Address - Street 1:1713 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-9631
Practice Address - Country:US
Practice Address - Phone:772-324-5400
Practice Address - Fax:772-934-6342
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME032775207RC0000X
FLME0032775207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257193500Medicaid
FL257193500Medicaid
FLD56783Medicare UPIN