Provider Demographics
NPI:1285648428
Name:HODAPP, ELIZABETH ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:HODAPP
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:800 DOUGLAS ROAD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2087
Mailing Address - Country:US
Mailing Address - Phone:305-461-0212
Mailing Address - Fax:305-461-0208
Practice Address - Street 1:900 NW 17TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33101-6960
Practice Address - Country:US
Practice Address - Phone:305-326-6031
Practice Address - Fax:305-243-8470
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2014-02-13
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Provider Licenses
StateLicense IDTaxonomies
FLME37651207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0656577-00Medicaid
FL0656577-00Medicaid
FL95724Medicare PIN