Individual
ASHLEY SHIRA HODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 7TH FLOOR, TAMPA, FL 33606-3603
(813) 259-0929
(813) 974-4280
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME116646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012987200
—
FL
01
—
14VJ9
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/18/2008
Last updated
03/29/2016
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