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Individual
JESSE JUDELLE
Active
Individual
JESSE JUDELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME23983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
EVOUTIONS HC
FL
01
—
00000
MULTIPLAN NETWORK
FL
01
—
01092
UNIVERSAL HEALTH CARE
FL
05
—
051174900
—
FL
Enumeration date
06/22/2005
Last updated
01/13/2017
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