Individual
JAMES CURTIS FUDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER ROAD, THE CONGENITAL HEART CENTER AT UF, GAINESVILLE, FL 32610
(352) 273-5422
(352) 392-0547
Mailing address
PO BOX 100296, UNIVERSITY OF FLORIDA COM, GAINESVILLE, FL 32610-0296
(352) 273-5422
(352) 392-0547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME107837
FL
2080P0202X
Pediatric Cardiology Physician
2005-01012
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002668600
—
FL
05
—
003110304A
—
GA
01
—
149CC
BCBSFL
FL
Enumeration date
04/28/2008
Last updated
08/22/2011
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