Provider Demographics
NPI:1760446504
Name:HOFFMEISTER, WILLIAM S (DC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:HOFFMEISTER
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 1:707 E OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4204
Mailing Address - Country:US
Mailing Address - Phone:407-855-7199
Mailing Address - Fax:407-855-7237
Practice Address - Street 1:707 E OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4204
Practice Address - Country:US
Practice Address - Phone:407-855-7199
Practice Address - Fax:407-855-7237
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118300OtherAMERIGROUP
FL245138OtherWELLCARE
FL285910OtherAVMED
FL55971OtherBCBS
FL285910OtherAVMED
FLU79775Medicare UPIN