Dudley, John

Dudley, John is an sole proprietor health care provider with primary practice located at 129 E Redstone Ave Ste A , Crestview FL 32539-5350. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Dudley, John can be contacted via phone (850) 682-7212.

Contact Information

Primary practice address
129 E Redstone Ave Ste A Crestview FL 32539-5350
Phone: (850) 682-7212
Fax: (850) 682-0220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME162979 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X LP03806 Rhode Island
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME162979 Florida

Profile Details

NPI number 1679923254
LBN Legal business name Dudley, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2016
Last updated Sep 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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