1821008582 NPI number — SCOTT D JUDD MD

Table of content: SCOTT D JUDD MD (NPI 1821008582)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821008582 NPI number — SCOTT D JUDD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JUDD
Provider First Name:
SCOTT
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821008582
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13550 SW 120TH ST
Provider Second Line Business Mailing Address:
STE 502
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33186-7505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-632-8861
Provider Business Mailing Address Fax Number:
813-977-1742

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13701 BRUCE B DOWNS BLVD
Provider Second Line Business Practice Location Address:
STE 106
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33613-4647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-632-8861
Provider Business Practice Location Address Fax Number:
813-977-1742
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207QG0300X , with the licence number:  ME90662 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 052602901 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 270246100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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