Mark C. Hofmann, M.D., P.a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

059601 Issued in FL

Legal business name

MARK C. HOFMANN, M.D., P.A.

Practice address

2968 Rainbow Rd
Jacksonville, FL 32217-2435

Phone

(904) 636-5919

Fax

(904) 636-9043

NPI assigned

Dec 11, 2012

Organization subpart

No

Name

Dr. Mark Charles Hofmann, M.D.

Title

President

Phone

(904) 636-5919

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2012.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1063757482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 RAINBOW RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172435",
            "telephone_number": "904-636-5919",
            "fax_number": "904-636-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 RAINBOW RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172435",
            "telephone_number": "904-636-5919",
            "fax_number": "904-636-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. HOFMANN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "HOFMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-636-5919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "059601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jacksonville, FL
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.