Dr. Corbin Thomas Hodder
Pulmonary Disease Critical Care Medicine
3801 S Kanner Hwy Ste 200
Stuart
, Florida 34994-4801
Dr. Corbin Thomas Hodder
Pulmonary Disease Critical Care Medicine
3801 S Kanner Hwy Ste 200
Stuart
, Florida 34994-4801
(772) 223-4949
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Corbin Thomas Hodder
- Po Box 417
- Stuart, FL
- Zip : 34995-0417
- Fax : (772) 223-4949
- Phone : (772) 223-4978
Second Address
- Dr. Corbin Thomas Hodder
- 3801 S Kanner Hwy Ste 200
- Stuart, FL
- Zip : 34994-4801
- Fax : (772) 223-2847
- Phone : (772) 223-4978
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0200X | Critical Care Medicine | OS14722 | FL |
| N | 207RP1001X | Pulmonary Disease | OS14722 | FL |
National Provider Identifier
| NPI | 1073723565 |
|---|---|
| Provider Name | Dr. Corbin Thomas Hodder |
| First Address | Stuart, FL 34995-0417 |
| Second Address | Stuart, FL 34994-4801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 14/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| YZKNF | FLORIDA BLUE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.