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Individual
DR. DAN T. TUDOR
Active
Individual
DR. DAN T. TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME 94020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275514900
—
FL
01
—
DF4787
MEDICARE RAILROAD
FL
01
—
P00369212
MEDICARE RAILROAD
FL
Enumeration date
02/23/2006
Last updated
06/04/2012
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