MEDICARE: DR. JOSEPH C HUDSON DC

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	111N00000X	Chiropractor	CH8694	FL

General Provider Information

NPI Number	:	1760440689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH C HUDSON DC

Provider Business Mailing Address
First Line	:	1111 LINCOLN RD
Second Line	:	SUITE 310
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2452
Country	:	US
Telephone Number	:	305-673-8248
Fax Number	:	305-675-0273

Provider Business Practice Location Address
First Line	:	1111 LINCOLN RD
Second Line	:	SUITE 310
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2452
Country	:	US
Telephone Number	:	305-673-8248
Fax Number	:	305-675-0273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	03/28/2017

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