Individual
MRS. CHRISTA R. HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
Mailing address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01123
WV
363A00000X
Physician Assistant
Primary
PA9106209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01123
STATE LICENSE
WV
05
—
018814100
—
FL
Enumeration date
09/14/2005
Last updated
09/13/2022
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