Individual
DR. KENNETH RICHARD HODOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20295 NE 29TH PL, SUITE# 300, AVENTURA, FL 33180-4109
(305) 932-7366
(305) 932-1271
Mailing address
20295 NE 29TH PL, SUITE# 300, AVENTURA, FL 33180-4109
(305) 932-7366
(305) 932-1271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0017075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0525847007
CIGNA
FL
01
—
200075
AVMED
FL
01
—
4592937
AETNA
FL
01
—
91939
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/03/2006
Last updated
07/08/2007
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