Individual
DR. DIANE CAROLYN HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5520 STEWART ST, MILTON, FL 32570-4304
(850) 981-9433
(850) 981-9436
Mailing address
2315 W JACKSON ST, PENSACOLA, FL 32505-7552
(850) 436-4630
(850) 436-2095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME93283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2728001 00
—
FL
01
—
U6061Y
MCR
FL
Enumeration date
04/05/2006
Last updated
08/21/2020
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