Kenneth R. Hodor, M.D., P.a.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

ME0017075 Issued in FL

Legal business name

KENNETH R. HODOR, M.D., P.A.

Practice address

20295 N E 29TH Place
Suite 300
Aventura, FL 33180-4109

Phone

(305) 932-7366

NPI assigned

Feb 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Richard Hodor, M.D.

Title

President

Phone

(305) 932-7366

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275701724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20295 NE 29TH PL",
            "address_2": "SUITE 300",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804109",
            "telephone_number": "305-932-7366",
            "fax_number": "305-932-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20295 N E 29TH PLACE",
            "address_2": "SUITE 300",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804109",
            "telephone_number": "305-932-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R. HODOR, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HODOR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-932-7366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "ME0017075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Aventura, FL
• Providers in Aventura, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.