Individual
DR. OMAR DEAN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME103869
FL
2080P0205X
Pediatric Endocrinology Physician
Primary
ME103869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000990300
—
FL
01
—
29192
BCBS
FL
01
—
9796123
AETNA
FL
01
—
CQ236Y
MEDICARE
FL
Enumeration date
06/29/2007
Last updated
02/13/2023
Update your record
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