Healthcare Provider Details

I. General information

NPI: 1275572315
Provider Name (Legal Business Name): JOHN VALDIS ZUDANS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 BAREFOOT BLVD STE 6
BAREFOOT BAY FL
32976-7480
US

IV. Provider business mailing address

311 BAREFOOT BLVD STE 6
BAREFOOT BAY FL
32976-7480
US

V. Phone/Fax

Practice location:
  • Phone: 772-212-1562
  • Fax: 772-318-4231
Mailing address:
  • Phone: 772-212-1562
  • Fax: 772-318-4231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME84639
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: