Individual
MR. JONATHAN CHARLES HODAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3030 SW EDWARDS AVE, PALM CITY, FL 34990-3202
(772) 284-4111
Mailing address
3030 SW EDWARDS AVE, PALM CITY, FL 34990-3202
(772) 284-4111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3308
FL
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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