Organization
ASHFAQ KUDIA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FURRIN KUDIA (OFFICE MANAGER)
(904) 461-9330
Entity
Organization
Contact information
Practice address
1301 PLANTATION ISLAND DR S STE 302A, SAINT AUGUSTINE, FL 32080-3117
(904) 461-9330
(904) 461-9331
Mailing address
1301 PLANTATION ISLAND DR S STE 302A, SAINT AUGUSTINE, FL 32080-3117
(904) 461-9330
(904) 461-9331
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0068850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28138
BC/BS
FL
05
—
379026600
—
FL
Enumeration date
04/07/2009
Last updated
12/11/2024
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