Provider Demographics
NPI:1336477579
Name:HOFHEINZ, KATHRYN LEIGH (PA-C)
Entity type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:LEIGH
Last Name:HOFHEINZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4408 COLETTE DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2648
Mailing Address - Country:US
Mailing Address - Phone:352-514-2100
Mailing Address - Fax:
Practice Address - Street 1:1102 W INDIANTOWN RD STE 7
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6813
Practice Address - Country:US
Practice Address - Phone:561-203-2765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9105200363A00000X
FLPA 9105200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant