# WHITE SANDS PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WHITE SANDS PODIATRY LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235962028
- **Legal business name:** WHITE SANDS PODIATRY LLC
- **Authorized official:** SEAN CHARLES HODSON DPM (OWNER/PHYSICIAN)
- **Authorized official phone:** (850) 622-1607

## Contact information

- **Practice address:** 1032 MAR WALT DR, STE 100, FORT WALTON BEACH, FL 32547
- **Practice address phone:** (850) 622-1607
- **Practice address fax:** (888) 302-6552
- **Mailing address:** 981 US HWY 98, STE 3410, DESTIN, FL 32541
- **Mailing address phone:** (850) 622-1607
- **Mailing address fax:** (888) 302-6552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 12/05/2024