Provider Demographics
NPI:1114103637
Name:HODGSON, SHARON LENORE (APPA)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LENORE
Last Name:HODGSON
Suffix:
Gender:F
Credentials:APPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6967 E FOWLER AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1714
Mailing Address - Country:US
Mailing Address - Phone:813-989-9771
Mailing Address - Fax:813-984-0426
Practice Address - Street 1:6967 E FOWLER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1714
Practice Address - Country:US
Practice Address - Phone:813-989-9771
Practice Address - Fax:813-984-0426
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP000977171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist