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Individual

LUDNER CONFIDENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2661 FEATHER SOUND DR, CLEARWATER, FL 33762-8029
(727) 642-9804
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME34907
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050016011
RR MEDICARE
FL
05
069148800
FL
01
07474
BCBS
FL
Enumeration date
08/23/2006
Last updated
07/20/2016
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