Hudson, Diane Carolyn

Hudson, Diane Carolyn is an individual health care provider with primary practice located at 5520 Stewart St , Milton FL 32570-4304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hudson, Diane Carolyn can be contacted via phone (850) 981-9433.

Contact Information

Primary practice address
5520 Stewart St Milton FL 32570-4304
Fax: (850) 981-9436
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME93283 Florida

Profile Details

NPI number 1780646745
LBN Legal business name Hudson, Diane Carolyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 21st, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780646745 NPPES
Florida Other U6061Y MCR
Florida MEDICAID 2728001 00 MCR

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