| Dr Heather L Dudley, DO | |
|
1658 St Vincents Way Ste 130, Middleburg, FL 32068-8459 | |
| (904) 264-1628 | |
| (904) 264-8386 |
| Full Name | Dr Heather L Dudley |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 25 Years |
| Location | 1658 St Vincents Way Ste 130, Middleburg, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356320592 | NPI | - | NPPES |
| 1356320592 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036113156 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | OS14575 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Halifax Healthcare Systems Inc | 1254238090 | 303 |
| Ob Hospitalist Group Llc | 5193866838 | 61 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | St Vincent's Ambulatory Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051116000430 |
| Entity Name | Ob Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heather L Dudley, DO 1658 St Vincents Way Ste 130, Middleburg, FL 32068-8459 Ph: (904) 264-1628 | Dr Heather L Dudley, DO 1658 St Vincents Way Ste 130, Middleburg, FL 32068-8459 Ph: (904) 264-1628 |
Dr. Andres A Ayuso, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1658 St. Vincents Way, Suite 130, Middleburg, FL 32068 Phone: 904-264-1628 Fax: 904-264-8386 |