Provider Demographics
NPI:1881823227
Name:HOFFMAN, DANIEL S (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 NORTHLAKE BLVD STE 1008
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4335
Mailing Address - Country:US
Mailing Address - Phone:407-834-3300
Mailing Address - Fax:407-834-3800
Practice Address - Street 1:270 NORTHLAKE BLVD STE 1008
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4335
Practice Address - Country:US
Practice Address - Phone:407-834-3300
Practice Address - Fax:407-834-3800
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133096208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLTJ3E3OtherBLUECROSS BLUE SHIELD
FL021654700Medicaid