person
Dr. Kenneth Richard Hodor, MD
Specialist in Aventura, Florida
NPI 1184686685

Kenneth Richard Hodor is a Specialist based in Aventura, FL. Kenneth Richard Hodor practices in Aventura, FL and has the professional credentials of MD. The NPI Number for Kenneth Richard Hodor is 1184686685 and holds a License No. ME0017075 (Florida).

The current practice location address for Kenneth Richard Hodor is 20295 Ne 29Th Pl, Aventura, FL and can be reached out via phone at 305-932-7366 and via fax at 305-932-1271.

Location: 20295 Ne 29Th Pl, Aventura, FL, 33180-4109
person
Provider Profile Details
NPI Number
1184686685
Provider Name
Kenneth Richard Hodor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20295 Ne 29Th Pl, Aventura, FL, 33180-4109
Phone Number
305-932-7366
Fax Number
305-932-1271
Provider Enumeration Date
04/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0525847007 01 FL CIGNA
4592937 01 FL AETNA
91939 01 FL BLUE CROSS BLUE SHIELD
200075 01 FL AVMED
institution
Provider Business Practice Location Address Details
Address
20295 Ne 29Th Pl
City
State
Zip
33180-4109
Phone Number
305-932-7366
Fax Number
305-932-1271
person
Provider Business Mailing Address Details
Address
20295 Ne 29Th Pl
City
State
Zip
33180-4109
Phone Number
305-932-7366
Fax Number
305-932-1271
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME0017075 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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