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Organization

RAYMOND F HUDANICH MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND FRANKLIN HUDANICH MD (PRESIDENT)
(954) 316-1140
Entity
Organization

Contact information

Practice address
6710 W SUNRISE BLVD, SUITE 110, PLANTATION, FL 33313-6066
(954) 316-1140
(954) 316-8259
Mailing address
6710 W SUNRISE BLVD, SUITE 110, PLANTATION, FL 33313-6066
(954) 316-1140
(954) 316-8259

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME13658
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06869
BCBS
FL
01
0986293
CIGNA
FL
Enumeration date
02/26/2007
Last updated
08/22/2020
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