Individual
PAMELA S HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 IMPERIAL BLVD STE B2, LAKELAND, FL 33803-4689
(813) 684-2229
(813) 413-8507
Mailing address
215 IMPERIAL BLVD STE B2, LAKELAND, FL 33803-4689
(813) 684-2229
(813) 413-8507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
19018
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
ME134220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64190184
—
KY
Enumeration date
10/20/2005
Last updated
01/20/2021
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