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NPI Code Detail

MEDICARE: PHUONG HUDSON

MEDICARE: PHUONG HUDSON
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
1183500000XPharmacistPS43789FL

General Provider Information

NPI Number : 1861094138
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHUONG HUDSON
Provider Business Mailing Address
First Line : 7818 W COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32818-6674
Country : US
Telephone Number : 407-522-5107
Fax Number : 407-522-5147
Provider Business Practice Location Address
First Line : 7818 W COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32818-6674
Country : US
Telephone Number : 407-522-5107
Fax Number : 407-522-5147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2020
Last Update Date : 11/12/2020

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Directions to “ PHUONG HUDSON ” Practice Location

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