Provider Demographics
NPI:1114225380
Name:HODSON, SEAN C (DPM)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:C
Last Name:HODSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:981 HIGHWAY 98 E
Mailing Address - Street 2:SUITE 3410
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-2584
Mailing Address - Country:US
Mailing Address - Phone:850-622-1607
Mailing Address - Fax:888-302-6552
Practice Address - Street 1:7720 US HIGHWAY 98 W
Practice Address - Street 2:SUITE 240
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32550-7230
Practice Address - Country:US
Practice Address - Phone:850-622-1607
Practice Address - Fax:888-302-6552
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-11
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO3469213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery