Provider Demographics
NPI:1154536340
Name:HOFFMAN, LINDA SUSAN (ARNP-C,CDE)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUSAN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:ARNP-C,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 LAKE EMERALD DRIVE
Mailing Address - Street 2:#105
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6217
Mailing Address - Country:US
Mailing Address - Phone:954-806-6180
Mailing Address - Fax:
Practice Address - Street 1:113 LAKE EMERALD DRIVE
Practice Address - Street 2:#105
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:954-806-6180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL812932363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP06816Medicare UPIN