Individual
JAMIE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W PLATT ST STE 4, TAMPA, FL 33606-4112
(813) 438-2240
Mailing address
1413 S HOWARD AVE STE 103A, TAMPA, FL 33606-3176
(813) 374-3872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11020542
FL
Other
Enumeration date
06/29/2022
Last updated
12/19/2023
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