Individual
DR. SCOTT DUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9325 GLADES RD, SUITE 101, BOCA RATON, FL 33434-3907
(561) 482-8887
(561) 451-1768
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
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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