Provider Demographics
NPI:1932149713
Name:HOFLER, GREGORY (DOM, AP,ND)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:HOFLER
Suffix:
Gender:M
Credentials:DOM, AP,ND
Other - Prefix:DR
Other - First Name:ITAMAR
Other - Middle Name:
Other - Last Name:HOFLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOM, AP,ND
Mailing Address - Street 1:24831 OLD 41 RD
Mailing Address - Street 2:#2
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-7030
Mailing Address - Country:US
Mailing Address - Phone:239-949-9567
Mailing Address - Fax:
Practice Address - Street 1:24831 OLD 41 RD
Practice Address - Street 2:#2
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-7030
Practice Address - Country:US
Practice Address - Phone:239-949-9567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1768171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist