Provider Demographics
NPI:1770745960
Name:HOFMANN, ROBERT FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:HOFMANN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1034 MAR WALT DR
Mailing Address - Street 2:UNIT 200
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6637
Mailing Address - Country:US
Mailing Address - Phone:813-908-2020
Mailing Address - Fax:813-908-2133
Practice Address - Street 1:1034 MAR WALT DR
Practice Address - Street 2:STE 200
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6639
Practice Address - Country:US
Practice Address - Phone:850-862-4001
Practice Address - Fax:850-862-1612
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-28
Last Update Date:2016-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG1918207W00000X
FLME103710207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B58303Medicare UPIN