Individual
PAMELA D LOUDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 6TH STREET SOUTH, ST. PETERSBURG, FL 33701-4814
(904) 446-3701
(888) 507-9833
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3701
(888) 507-9833
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
ARNP1095812
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
ARNP1095812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304014300
—
FL
01
—
7373704
AETNA
—
01
—
P00226381
RAILROAD MEDICARE
—
Enumeration date
08/22/2006
Last updated
11/14/2022
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