Hodges, Davita Mabourakh

Hodges, Davita Mabourakh is an individual health care provider with primary practice located at 6455 W Commercial Blvd , Tamarac FL 33319-2110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Hodges, Davita Mabourakh can be contacted via phone (549) 720-1414.

Contact Information

Primary practice address
6455 W Commercial Blvd Tamarac FL 33319-2110
Phone: (549) 720-1414
Fax: (954) 720-4727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X RTL22-0632 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA11140800 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME153182 Florida

Profile Details

NPI number 1639675937
LBN Legal business name Hodges, Davita Mabourakh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Jul 15th, 2025 - about last year

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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