Individual
DR. LARRY HODSON
Active
Individual
DR. LARRY HODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO1128
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 1128
FL
213ES0131X
Foot Surgery Podiatrist
Primary
PO 1128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061666115
TAX ID
FL
01
—
45803
BLUECROSSBLUESHEIL GROUP
FL
01
—
480035195
RR MEDICARE
FL
01
—
87594
BLUECROSSBLUESHIELD OF FL
FL
01
—
CK8386
RR MEDICARE GROUP #
FL
Enumeration date
08/09/2006
Last updated
02/10/2014
Update your record
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