Dan T Tudor MD PL

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME94020 Issued in FL

Legal business name

DAN T TUDOR MD PL

Practice address

419 E 1St St
Sanford, FL 32771-1407

Phone

(407) 323-5047

Fax

(407) 323-5048

NPI assigned

May 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan T Tudor, MD

Title

Owner

Phone

(407) 323-5047

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1215982988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1881",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327721881",
            "telephone_number": "407-323-5047",
            "fax_number": "407-323-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711407",
            "telephone_number": "407-323-5047",
            "fax_number": "407-323-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN T TUDOR MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "TUDOR",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-323-5047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME94020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.