Provider Demographics
NPI:1598280414
Name:HOBDY, MARILYN RENEE (BSW)
Entity Type:Individual
Prefix:MRS
First Name:MARILYN
Middle Name:RENEE
Last Name:HOBDY
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 PUMP RD
Mailing Address - Street 2:
Mailing Address - City:MULBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:33860-7807
Mailing Address - Country:US
Mailing Address - Phone:813-300-8741
Mailing Address - Fax:
Practice Address - Street 1:2155 PUMP RD
Practice Address - Street 2:
Practice Address - City:MULBERRY
Practice Address - State:FL
Practice Address - Zip Code:33860
Practice Address - Country:US
Practice Address - Phone:813-300-8741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator