DR. BONNIE B. HUDAK MD NPI 1457467375

NPI Information

NPI: 1457467375
Provider Name: DR. BONNIE B. HUDAK, MD
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 390-3788
Get Directions

DR. Bonnie B. Hudak, MD is a pediatric pulmonology pediatrics in Jacksonville, FL. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. DR. Bonnie B. Hudak, MD NPI is 1457467375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207-426
Phone: (904) 390-3788
Fax: (904) 390-3429

The NPI 1457467375 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 10/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		ME69794	FLORIDA	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	ME69794	FLORIDA	No
3	2080P0214X	Pediatrics	Pediatric Pulmonology	ME69794	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B70734	MEDICARE UPIN
2	000693514A	MEDICAID	GEORGIA
3	379239100	MEDICAID	FLORIDA
4	28343	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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