Hodge, Deborah
Hodge, Deborah is an individual health care provider with primary practice located at 4001 Kaluga Park St , Orlando FL 32808-7473. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Hodge, Deborah can be contacted via phone (407) 982-6629.Contact Information
Primary practice address
4001 Kaluga Park St
Orlando FL 32808-7473
Phone: (407) 982-6629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 7G331A/C | Florida |
Profile Details
| NPI number | 1790108405 |
|---|---|
| LBN Legal business name | Hodge, Deborah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2014 |
| Last updated | Jan 31st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790108405 | NPPES |
| Florida | Other | 684197096 | MEDWAIVER |
| Florida | Other | 684197098 | MEDWAIVER |
| Florida | Other | 6841970001 | MEDWAIVER |
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