Provider Demographics
NPI:1811722754
Name:HOFFMAN, ZECHARIAH
Entity type:Individual
Prefix:
First Name:ZECHARIAH
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2454 CR 546N
Mailing Address - Street 2:
Mailing Address - City:BUSHNELL
Mailing Address - State:FL
Mailing Address - Zip Code:33513-4586
Mailing Address - Country:US
Mailing Address - Phone:352-457-5132
Mailing Address - Fax:
Practice Address - Street 1:2454 CR 546N
Practice Address - Street 2:
Practice Address - City:BUSHNELL
Practice Address - State:FL
Practice Address - Zip Code:33513-4586
Practice Address - Country:US
Practice Address - Phone:352-457-5132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health