Individual
JUDY C LIMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 REDSTONE AVENUE, CRESTVIEW, FL 32539-5352
(850) 689-8100
(419) 866-5453
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME116231
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
08783R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664481
—
LA
Enumeration date
09/20/2006
Last updated
01/22/2019
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