MEDICARE: DR. PATRICK H JUDSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	MD437414	PA
2	207RH0003X	Hematology & Oncology Physician	16369	NH
3	207RH0003X	Hematology & Oncology Physician	ME122879	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00276608	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477552289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK H JUDSON MD

Provider Business Mailing Address
First Line	:	1000 36TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-4862
Country	:	US
Telephone Number	:	772-567-4311
Fax Number	:	772-794-1450

Provider Business Practice Location Address
First Line	:	3555 10TH CT STE 200B
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5013
Country	:	US
Telephone Number	:	772-226-4810
Fax Number	:	772-226-4825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	03/17/2018

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Directions to “ DR. PATRICK H JUDSON MD” Practice Location

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