Organization
WHITE SANDS PODIATRY LLC
Active
Other names
White Sands Podiatry, White Sands Podiatry FWB
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN C HODSON DPM (PHYSICIAN)
(850) 622-1607
Entity
Organization
Contact information
Practice address
502 S FERDON BLVD STE B, CRESTVIEW, FL 32536-4238
(850) 622-1607
(888) 302-6552
Mailing address
771 HARBOR BLVD STE 400 #410, DESTIN, FL 32541-2638
(850) 622-1607
(888) 302-6552
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472092001
TAX ID#
FL
Enumeration date
03/15/2021
Last updated
10/14/2025
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