Individual
DR. HEATHER L DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1658 ST VINCENTS WAY STE 130, MIDDLEBURG, FL 32068-8459
(904) 264-1628
(904) 264-8386
Mailing address
1658 ST VINCENTS WAY STE 130, MIDDLEBURG, FL 32068-8459
(904) 264-1628
(904) 264-8386
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036113156
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
OS14575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356320592
NPI
FL
Enumeration date
01/16/2006
Last updated
06/16/2018
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