Organization Active NPI

Hudson Family Medicine LLC

  • Primary Care Clinic/Center
  • Navarre, FL
National Provider Identifier
1326551938
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HUDSON FAMILY MEDICINE LLC
Practice address
1766 Sea Lark LN Unit 2
Navarre, FL 32566-7472
Phone
(850) 226-6803
Fax
(888) 224-9066
NPI assigned
Nov 6, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Janice Marie Hudson, MD
Title
Owner
Phone
(850) 384-2617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1766 Sea Lark LN Unit 2
Navarre, FL 32566-7472

Mailing address

6031 Blair Cir
Gulf Breeze, FL 32563-7064
Phone (850) 384-2617

National Provider Directory

National Provider Directory

Locations

4570 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 226-6803

1766 Sea Lark Ln
Unit 2
Navarre, FL 32566
Phone (850) 226-6803

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1326551938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 BLAIR CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325637064",
            "telephone_number": "850-384-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 SEA LARK LN UNIT 2",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667472",
            "telephone_number": "850-226-6803",
            "fax_number": "888-224-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-384-2617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.