Provider Demographics
NPI:1548597891
Name:HODGKINS, JOSEF (RN)
Entity Type:Individual
Prefix:
First Name:JOSEF
Middle Name:
Last Name:HODGKINS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11901 10TH WAY N APT 4311
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1515
Mailing Address - Country:US
Mailing Address - Phone:603-401-8454
Mailing Address - Fax:
Practice Address - Street 1:11901 10TH WAY N APT 4311
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1515
Practice Address - Country:US
Practice Address - Phone:603-401-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2017-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9422817163W00000X
NH054152-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse