Individual
MRS. GINA HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1923 KINGSLEE DR, SOUTHPORT, FL 32409-3563
(850) 624-0321
Mailing address
1923 KINGSLEE DR, SOUTHPORT, FL 32409-3563
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5230226
FL
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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