Hodges, Richard Pentreath

Hodges, Richard Pentreath is an individual health care provider with primary practice located at 4301 N Habana Ave , Tampa FL 33607-6546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hodges, Richard Pentreath can be contacted via phone (813) 870-4064.

Contact Information

Primary practice address
4301 N Habana Ave Tampa FL 33607-6546
Fax: (813) 443-8146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME66033 Florida

Profile Details

NPI number 1184629412
LBN Legal business name Hodges, Richard Pentreath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Dec 19th, 2016 - about 8 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 1184629412 NPPES
Florida MEDICAID 377334500

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