Individual
DONNA S JUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 S HIGHWAY 29, STE 306, CANTONMENT, FL 32533-5808
(850) 476-0559
(850) 476-0599
Mailing address
PO BOX 533, CANTONMENT, FL 32533-0533
(850) 476-0559
(850) 476-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 73208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253194100
—
FL
01
—
41382
BLUE CROSS BLUE SHIELD FL
FL
01
—
591-97072
BCBS ALABAMA
AL
01
—
A196
HEALTH FIRST NETWORK
FL
01
—
P00461851
RAILROAD MEDICARE
FL
Enumeration date
01/17/2006
Last updated
01/21/2011
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