Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVITA MABOURAKH HODGES, MD
ActiveDAVITA MABOURAKH HODGES, MD is a Gastroenterology healthcare provider located in TAMARAC, Florida. NPI 1639675937 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · TAMARAC, FL
Registration Details
- NPI Number
- 1639675937
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2018 (8.3728050199389 yrs)
- Last Updated
- Jul 15, 2025
- Licenses
-
RTL22-0632 (NC)25MA11140800 (NJ)ME153182 (FL)
Practice Information
- Address
-
6455 W COMMERCIAL BLVDTAMARAC, FL, 333192110Browse FL providers · Browse ZIP 33319
- Phone
- 5497201414
- Fax
- 9547204727
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.