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Individual

PAMELA HODUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
(813) 449-6749
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-4673

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME88180
FL
2086X0206X
Surgical Oncology Physician
ME88180
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275229800
FL
01
53063
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/31/2006
Last updated
06/02/2026
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