Individual
DR. RONALD D FUDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC,DACAN
Contact information
Practice address
1301 PLANTATION ISLAND DR S, SUITE 402 A, SAINT AUGUSTINE, FL 32080-3108
(904) 471-4744
(901) 471-4745
Mailing address
1301 PLANTATION ISLAND DR S, SUITE 402A, SAINT AUGUSTINE, FL 32080-3108
(904) 471-4744
(904) 471-4745
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
1317
OH
111NN0400X
Neurology Chiropractor
Primary
CH10979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206217
ANTHEM
—
01
—
2501109
AETNA
—
01
—
44-00470
UNITED HEALTHCARE
—
Enumeration date
08/31/2006
Last updated
02/05/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us