Fudge, Elizabeth B

Fudge, Elizabeth B is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Fudge, Elizabeth B can be contacted via phone (352) 334-1390.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 334-1390
Fax: (352) 334-1325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 2005-01246 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X ME108315 Florida

Profile Details

NPI number 1801009782
LBN Legal business name Fudge, Elizabeth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Dec 22nd, 2010 - about 15 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 1801009782 NPPES
Florida MEDICAID 002840300

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