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NPI Code Detail

MEDICARE: JOHN B HUDSON JR M D P A

MEDICARE: JOHN B HUDSON JR M D P A
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
1207Q00000XFamily Medicine Physician23144FL

General Provider Information

NPI Number : 1740440999
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN B HUDSON JR M D P A
Provider Business Mailing Address
First Line : 2071 DUNDEE DR
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-4104
Country : US
Telephone Number : 407-628-4188
Fax Number : 407-740-8688
Provider Business Practice Location Address
First Line : 2071 DUNDEE DR
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-4104
Country : US
Telephone Number : 407-628-4188
Fax Number : 407-740-8688
Authorized Official
Title or Position : PHYSICIAN
Name : DR. JOHN B HUDSON JR.
Credential : M.D.
Telephone Number : 407-628-4188
Provider Enumeration Date : 06/11/2008
Last Update Date : 09/29/2016

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Directions to “JOHN B HUDSON JR M D P A ” Practice Location

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