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NPI Code Detail

MEDICARE: DR. WILLIAM ANDREW HODGE M.D.

MEDICARE: DR. WILLIAM ANDREW HODGE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD191113ME
2207X00000XOrthopaedic Surgery PhysicianME49712FL

General Provider Information

NPI Number : 1811933518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM ANDREW HODGE M.D.
Provider Business Mailing Address
First Line : 3033 WINKLER AVE UNIT 100
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-9523
Country : US
Telephone Number : 239-277-7070
Fax Number :
Provider Business Practice Location Address
First Line : 3033 WINKLER AVE UNIT 100
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-9523
Country : US
Telephone Number : 239-277-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 06/03/2020

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