Individual
RAISA HODZIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 62ND AVE N, SAINT PETERSBURG, FL 33702-7338
(727) 459-0062
Mailing address
365 114TH AVE N UNIT 4, SAINT PETERSBURG, FL 33716-2826
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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