Individual
DR. STEVEN EDWARD HODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 PRUDENTIAL DR, 1107, JACKSONVILLE, FL 32207-8338
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2008009816
MO
208600000X
Surgery Physician
Primary
ME104162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145RR
BCBS OF FLORIDA
FL
01
—
329335
AVMED
FL
01
—
9267150
AETNA
—
01
—
9560148
CIGNA
—
01
—
P00735909
RAILROAD MEDICARE
—
Enumeration date
10/16/2007
Last updated
06/22/2011
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