Individual
DANIEL T KUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
522 PLAZA, ATLANTIC BEACH, FL 32233-4123
(904) 236-8856
(904) 346-0113
Mailing address
522 PLAZA, ATLANTIC BEACH, FL 32233-4123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA9103765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00373075
RAILROAD MEDICARE
FL
Enumeration date
08/30/2006
Last updated
02/07/2014
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