Provider Demographics
NPI:1902964604
Name:DAN HOFFMAN MD PA
Entity Type:Organization
Organization Name:DAN HOFFMAN MD PA
Other - Org Name:EYE CENTERS OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ISRAEL
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-947-0027
Mailing Address - Street 1:1701 NE 164TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4018
Mailing Address - Country:US
Mailing Address - Phone:305-947-0027
Mailing Address - Fax:305-402-0187
Practice Address - Street 1:1701 NE 164TH ST # 200
Practice Address - Street 2:
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4018
Practice Address - Country:US
Practice Address - Phone:305-947-0027
Practice Address - Fax:305-945-8734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45812207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375059100Medicaid
FLP1592837OtherOXFORD HEALTH PLANS
FL1588658421OtherADVANTICA EYE CARE
FL79927OtherBLUE CROSS BLUE SHIELD FL
FL20546OtherNEIGHBORHOOD HEALTH PARTNERSHIP (NHP) - RIVER VALLEY PLAN UNDER UHC
FL375059100Medicaid
FL400420OtherGHI
FL240011OtherAVMED HEALTH PLAN
FL44604238OtherMULTIPLAN NETWORK (INTEGRATED HEALTH PLAN, VALUE POINT PRODUCTS)
FL1588658421OtherADVANTICA EYE CARE
FL=========OtherHUMANA - COMMERCIAL PLANS ONLY -PPO, POS, HMO-
FL=========OtherPREFERRED CARE PPO
FL=========OtherRAILROAD MEDICARE
FL20546OtherNEIGHBORHOOD HEALTH PARTNERSHIP (NHP) - RIVER VALLEY PLAN UNDER UHC
FL=========OtherMEDICA HEALTHCARE PLANS
FL400420OtherGHI
FL=========OtherPRIVATE HEALTHCARE SYSTEMS - PHCS SAVALITY AND PPO PLANS-
FL=========OtherFIRST HEALTH NETWORK
FL=========OtherMOLINA HEALTHCARE
FL79927OtherBLUE CROSS BLUE SHIELD FL
FL=========OtherPRIMARY PLUS (COMP BENEFITS) NETWORK
FL=========OtherWORKERS COMP CASES
FLP1592837OtherOXFORD HEALTH PLANS
FLP1592837OtherOXFORD HEALTH PLANS
FL=========OtherMOLINA HEALTHCARE