Provider Demographics
NPI:1588658421
Name:HOFFMAN, JOSEPH ISRAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ISRAEL
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1701 NE 164TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4018
Mailing Address - Country:US
Mailing Address - Phone:305-947-0027
Mailing Address - Fax:305-402-0187
Practice Address - Street 1:1701 NE 164TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4018
Practice Address - Country:US
Practice Address - Phone:305-947-0027
Practice Address - Fax:305-945-8734
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045812207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL042033600Medicaid
FL79927OtherBLUE CROSS BLUE SHIELD
FL2302119OtherAETNA
FL240011OtherAVMED
FL020546OtherNHP
FL042033600Medicaid
FL180011014OtherRAILROAD MEDICARE
FL180015432OtherRAILROAD MEDICARE
FL79927OtherBLUE CROSS BLUE SHIELD
FLD67376OtherVISTA
FL79927YMedicare PIN