{"npi":"1639675937","type":"NPI-1","status":"active","name":{"display":"Davita Hodges MD","other":[],"first":"DAVITA","last":"HODGES","middle":"MABOURAKH","credential":"MD"},"specialty":{"primary_taxonomy":"207RG0300X","primary_taxonomy_description":"Geriatric Medicine (Internal Medicine) Physician","slug":"geriatric-medicine-internal-medicine-physician","schema_org_specialty":null,"all":[{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":false,"state":"NC","license":"RTL22-0632"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"NJ","license":"25MA11140800"},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":true,"state":"FL","license":"ME153182"}]},"addresses":[{"purpose":"LOCATION","street_1":"6455 W COMMERCIAL BLVD","city":"TAMARAC","state":"FL","postal_code":"333192110","country_code":"US","phone":"5497201414","fax":"9547204727"},{"purpose":"MAILING","street_1":"6455 W COMMERCIAL BLVD","city":"TAMARAC","state":"FL","postal_code":"333192110","country_code":"US","phone":"9547201414","fax":"9547204727"}],"license":{"state":"FL","number":"ME153182"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230705003210","type_code":"14-38","type_desc":"PRACTITIONER - GERIATRIC MEDICINE","state":"FL","pac_id":"9931582632"}]},"enumeration_date":"2018-04-04","last_updated":"2025-07-15","_meta":{"source":"NPPES","snapshot_date":"2025-07-15","doc_url":"https://findmynpi.com/api"}}