Judd, Scott D

Judd, Scott D is an individual health care provider with primary practice located at 13701 Bruce B Downs Blvd Ste 106, Tampa FL 33613-4647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Judd, Scott D can be contacted via phone (813) 632-8861.

Contact Information

Primary practice address
13701 Bruce B Downs Blvd Ste 106 Tampa FL 33613-4647
Phone: (813) 632-8861
Fax: (813) 977-1742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME90662 Florida

Profile Details

NPI number 1821008582
LBN Legal business name Judd, Scott D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 20th, 2019 - about 7 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 1821008582 NPPES
Florida MEDICAID 052602901

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