Individual
DR. JESSE ROBERT HODGES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1780 S NOVA RD STE 4, SOUTH DAYTONA, FL 32119
(386) 679-7731
Mailing address
12000 CAROLINES CV APT 205B, ORMOND BEACH, FL 32174-1131
(504) 669-2815
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1687
FL
111NS0005X
Sports Physician Chiropractor
CH12421
FL
Other
Enumeration date
11/27/2013
Last updated
06/11/2018
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