MRS. SERBRINA N. HUDSON


Address: 14405 Sw 107th Ct, Miami, FL 33176-7501
Phone: 7862584063

MRS. SERBRINA N. HUDSON (NPI# 1619400322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619400322
Entity Type Individual
Full Name MRS. SERBRINA N. HUDSON
Other Name MS. SERBRINA N. TENNELL
Practice Address 14405 Sw 107th Ct
Miami
FL 33176-7501
Mailing Address 12905 Sw 286th St
Homestead
FL 33033-7459
Practice Telephone 7862584063
Mailing Telephone 7862584063
Enumeration Date 2017-04-10
Last Update Date 2017-04-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
HB9327 FL Other Service Providers

Office Location

Street Address 14405 SW 107TH CT
City MIAMI
State FL
Zip Code 33176-7501

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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

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1821504689 Nathalie Salazar Specialist 750 Nw 113th St, Miami, FL 33168-2219 2017-12-15

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1720622798 Cesar A Brito Specialist 744 W Brandon Blvd, Brandon, FL 33511-4902 2019-11-03
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Competitor

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City MIAMI
Zip Code 33176

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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