Organization
CANTONMENT FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA S. JUDSON MD (PRESIDENT/OWNER)
(850) 476-0559
Entity
Organization
Contact information
Practice address
2400 S. HWY 29, CANTONMENT, FL 32533
(850) 476-0559
(850) 476-0599
Mailing address
PO BOX 553, CANTONMENT, FL 32533-0553
(850) 476-0559
(850) 476-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME73208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253194100
—
FL
Enumeration date
12/03/2007
Last updated
01/25/2011
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