Individual
SCOTT D JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13701 BRUCE B DOWNS BLVD, STE 106, TAMPA, FL 33613-4647
(813) 632-8861
(813) 977-1742
Mailing address
13550 SW 120TH ST, STE 502, MIAMI, FL 33186-7505
(813) 632-8861
(813) 977-1742
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME90662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052602901
—
FL
Enumeration date
08/08/2006
Last updated
09/20/2019
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