Hodan, Gerald

Hodan, Gerald is an individual health care provider with primary practice located at 3745 5Th Ave N , St Petersburg FL 33713-7519. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hodan, Gerald can be contacted via phone (727) 399-0806.

Contact Information

Primary practice address
3745 5Th Ave N St Petersburg FL 33713-7519
Phone: (727) 399-0806
Fax: (866) 469-3880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY2871 Florida

Profile Details

NPI number 1578609632
LBN Legal business name Hodan, Gerald
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 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 1578609632 NPPES
Florida Other 59499 BLUE SHIELD OF FL

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