Individual
DR. SCOTT DUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
138590
MT
208800000X
Urology Physician
Primary
64623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026039
CAREPLUS
FL
01
—
225484
AVMED
FL
01
—
28385
WELLCARE
FL
01
—
45095
BCBS
FL
01
—
5439647
AETNA
FL
01
—
P01601030
RR MEDICARE
FL
01
—
P1010627
FREEDOM
FL
01
—
P970896
OPTIMUM
FL
Enumeration date
06/07/2006
Last updated
03/20/2024
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