Individual
KEVIN MARCELL HODDINOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1511 SW 1ST AVE, OCALA, FL 34471-6505
(352) 368-1661
(352) 867-9794
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-06-2777
OH
208600000X
Surgery Physician
MD0578081
PA
208600000X
Surgery Physician
ME100609
FL
2086S0129X
Vascular Surgery Physician
Primary
ME100609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281126000
—
FL
01
—
29763
BCBS
FL
Enumeration date
09/13/2005
Last updated
09/23/2016
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