Provider Demographics
NPI:1043264302
Name:DUDLEY, DULCE V (MD)
Entity Type:Individual
Prefix:DR
First Name:DULCE
Middle Name:V
Last Name:DUDLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 GOODLETTE RD N
Mailing Address - Street 2:STE 100
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5406
Mailing Address - Country:US
Mailing Address - Phone:239-262-8226
Mailing Address - Fax:
Practice Address - Street 1:1008 GOODLETTE RD N
Practice Address - Street 2:STE 100
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5406
Practice Address - Country:US
Practice Address - Phone:239-262-8226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00535662080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL428571OtherONE HEALTH PLAN
FL40916COtherBLUE CROSS
FL048604300Medicaid
FL1201914OtherUNITED HEALTH CARE
FL07336OtherBLUE SHIELD
FL4236536OtherAETNA
FL4236536OtherAETNA
FL40916COtherBLUE CROSS