Individual
DR. CORBIN THOMAS HODDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3801 S KANNER HWY STE 200, STUART, FL 34994-4801
(772) 223-4978
(772) 223-2847
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-4978
(772) 223-4949
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS14722
FL
207RP1001X
Pulmonary Disease Physician
Primary
OS14722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YZKNF
FLORIDA BLUE
FL
Enumeration date
05/23/2007
Last updated
03/31/2022
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