Individual
MS. CHRISTINA RENEE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2080 OAKLEY SEAVER DR, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Mailing address
2080 OAKLEY SEAVER DR, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105184
FL
363AM0700X
Medical Physician Assistant
PA9105184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004453300
—
FL
Enumeration date
12/08/2009
Last updated
12/21/2021
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