Provider Demographics
NPI:1073642062
Name:HUDSON HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:HUDSON HEALTHCARE SERVICES, LLC
Other - Org Name:GATOR FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:GWEN
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-332-6555
Mailing Address - Street 1:4423 NW 6TH PL
Mailing Address - Street 2:UNIT C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6115
Mailing Address - Country:US
Mailing Address - Phone:352-332-6555
Mailing Address - Fax:352-332-4419
Practice Address - Street 1:4423 NW 6TH PL
Practice Address - Street 2:UNIT C
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6115
Practice Address - Country:US
Practice Address - Phone:352-332-6555
Practice Address - Fax:352-332-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty