W. Forrest Judson, MD, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME26707 Issued in FL

Legal business name

W. FORREST JUDSON, MD, PA

Practice address

500 Vonderburg Dr
Suite 310W
Brandon, FL 33511-5964

Phone

(813) 681-8974

Fax

(813) 689-4573

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. June A Huebner

Title

Office Manager

Phone

(813) 681-8974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1962710160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "SUITE 310W",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115964",
            "telephone_number": "813-681-8974",
            "fax_number": "813-689-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR",
            "address_2": "SUITE 310W",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115964",
            "telephone_number": "813-681-8974",
            "fax_number": "813-689-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. FORREST JUDSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "HUEBNER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-681-8974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME26707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Von Maltzahn I
• Poungsri Vonbernuth, LMT
• Carol Vose, P.T.
• Cathy Vu, LMT
• Matthew Anthony Vuskovich, MD, MSPH
• Brant Wade, DMD
• Emily G Wade, BCBA
• Betty Wadley, REGISTERED NURSE
• David J Wages, D.C.
• Amanda Wagner, M.ED., ED.S., LMFT

• Plastic Surgery Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.