Organization
KENNETH R. HODOR, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH RICHARD HODOR M.D. (PRESIDENT)
(305) 932-7366
Entity
Organization
Contact information
Practice address
20295 N E 29TH PLACE, SUITE 300, AVENTURA, FL 33180-4109
(305) 932-7366
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
332BC3200X
Customized Equipment (DME)
Primary
ME0017075
FL
Other
Enumeration date
02/19/2008
Last updated
04/20/2008
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