Provider Demographics
NPI:1821269614
Name:W ANDREW HODGE MD PA
Entity Type:Organization
Organization Name:W ANDREW HODGE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:MR
Authorized Official - First Name:W
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-659-1715
Mailing Address - Street 1:1411 N FLAGLER DR
Mailing Address - Street 2:SUITE 4900
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3404
Mailing Address - Country:US
Mailing Address - Phone:561-659-1715
Mailing Address - Fax:561-659-1561
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE 4900
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-659-1715
Practice Address - Fax:561-659-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty