MEDICARE: HUDSON CENTER GROUP INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1932958915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON CENTER GROUP INC

Provider Business Mailing Address
First Line	:	7825 N DALE MABRY HWY STE 28
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3207
Country	:	US
Telephone Number	:	727-906-7768
Fax Number	:

Provider Business Practice Location Address
First Line	:	7825 N DALE MABRY HWY STE 28
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3207
Country	:	US
Telephone Number	:	727-906-7768
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELPIDIO CARRAZANA HERRERA
Credential	:
Telephone Number	:	727-906-7768

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/14/2024

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