Hodges, Pamela S

Hodges, Pamela S is an individual health care provider with primary practice located at 215 Imperial Blvd Ste B2 , Lakeland FL 33803-4689. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hodges, Pamela S can be contacted via phone (813) 684-2229.

Contact Information

Primary practice address
215 Imperial Blvd Ste B2 Lakeland FL 33803-4689
Fax: (813) 413-8507
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19018 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME134220 Florida

Profile Details

NPI number 1396734448
LBN Legal business name Hodges, Pamela S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 20th, 2021 - about 3 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 1396734448 NPPES
Kentucky MEDICAID 64190184

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