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Contact Information

BONNIE B HUDAK, MD
807 CHILDRENS WAY
JACKSONVILLE, FL32207-8426
 Phone: 904-390-3788
 Fax: 904-390-3429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BONNIE B HUDAK · (Female)

NPI Number 1457467375
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 10/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME69794
  • FL Medicaid 379239100
  • GA Medicaid 000693514A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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