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Contact Information

JAMES C FUDGE JR, MD
1600 SW ARCHER ROAD
THE CONGENITAL HEART CENTER AT UF
GAINESVILLE, FL32610
 Phone: 352-273-5422
 Fax: 352-392-0547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JAMES C FUDGE JR · (Male)

NPI Number 1477728640
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2008
Last updated 08/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME107837
  • NC License # 2005-01012
  • FL Medicaid 002668600
  • GA Medicaid 003110304A
  • FL Other 149CC BCBSFL
Hospital affiliation(s)
  • SHANDS HOSPITAL AT THE UNIVERSITY OF FLORIDA - (Acute Care)
    1600 SW ARCHER RD
    GAINESVILLE, FL 32610
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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