Healthcare Provider Details

I. General information

NPI: 1437080215
Provider Name (Legal Business Name): NATALIE FAITH HUDSON O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 US HIGHWAY 331 S UNIT 1
DEFUNIAK SPRINGS FL
32435-3358
US

IV. Provider business mailing address

113 N PALAFOX ST
PENSACOLA FL
32502-4838
US

V. Phone/Fax

Practice location:
  • Phone: 850-892-5514
  • Fax:
Mailing address:
  • Phone: 850-880-6778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: