Basic Information
Provider Information
NPI: 1225030539
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOFF-JOINVILLE
FirstName: VICTORIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 86252 RIVERWOOD DR
Address2:  
City: YULEE
State: FL
PostalCode: 320973482
CountryCode: US
TelephoneNumber: 9042252460
FaxNumber:  
Practice Location
Address1: 2032 DUNN AVE
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322184716
CountryCode: US
TelephoneNumber: 9047572008
FaxNumber: 9047574623
Other Information
ProviderEnumerationDate: 06/01/2005
LastUpdateDate: 01/10/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOS8752FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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