Hudak, Mark Lawrence

Hudak, Mark Lawrence is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Neonatology Dept, Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Hudak, Mark Lawrence can be contacted via phone (904) 244-3508.

Contact Information

Primary practice address
655 W 8Th St Ufjp Neonatology Dept Jacksonville FL 32209-6511
Phone: (904) 244-3508
Fax: (904) 244-3028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME75147 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME75147 Florida

Profile Details

NPI number 1942278296
LBN Legal business name Hudak, Mark Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2006
Last updated Oct 6th, 2008 - about 16 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 1942278296 NPPES
Florida MEDICAID 3790495-00
Florida MEDICAID 000761758A

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