Hodges, Christa R.

Hodges, Christa R. is an individual health care provider with primary practice located at 5130 Sunforest Dr Ste 300 , Tampa FL 33634-6327. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hodges, Christa R. can be contacted via phone (727) 824-0780.

Contact Information

Primary practice address
5130 Sunforest Dr Ste 300 Tampa FL 33634-6327
Phone: (727) 824-0780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106209 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01123 West Virginia

Profile Details

NPI number 1942295100
LBN Legal business name Hodges, Christa R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 13th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942295100 NPPES
Florida MEDICAID 018814100
Florida Other 01123

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