Provider Demographics
NPI:1588017503
Name:HOFMANN, SARA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4071 BEE RIDGE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2542
Mailing Address - Country:US
Mailing Address - Phone:941-357-4090
Mailing Address - Fax:727-304-3619
Practice Address - Street 1:4071 BEE RIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2542
Practice Address - Country:US
Practice Address - Phone:941-357-4090
Practice Address - Fax:727-304-3619
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program