| Doctor Name: | EDWARD L HOFFMAN |
| NPI Number: | 1003963968 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.H.C. |
| License Number: | MH4235 |
| Business Practice Address: | 1543 Kingsley Ave Suite 18a Orange Park, FL - 320734535 |
| Business Phone Number: | 9042693324 |
| Business Fax Number: | 9042642302 |
| Mailing Address: | 1543 Kingsley Ave, Suite 18a ORANGE PARK |
| State: | FL |
| Postal Code: | 320734535 |
| Phone Number: | 9042693324 |
| Fax Number: | 9042642302 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 05/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH4235 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |