Healthcare Provider Details

I. General information

NPI: 1750386108
Provider Name (Legal Business Name): JUDE-FARLEY PIERRE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4655 KEYSVILLE AVE
SPRING HILL FL
34608-3516
US

IV. Provider business mailing address

5350 SPRING HILL DR
SPRING HILL FL
34606-4562
US

V. Phone/Fax

Practice location:
  • Phone: 352-666-1913
  • Fax: 352-666-1903
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO2999
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO2999
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: