Provider Demographics
NPI:1275572315
Name:ZUDANS, JOHN VALDIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:VALDIS
Last Name:ZUDANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 BAREFOOT BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:BAREFOOT BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32976-7480
Mailing Address - Country:US
Mailing Address - Phone:772-212-1562
Mailing Address - Fax:772-318-4231
Practice Address - Street 1:311 BAREFOOT BLVD STE 6
Practice Address - Street 2:
Practice Address - City:BAREFOOT BAY
Practice Address - State:FL
Practice Address - Zip Code:32976-7480
Practice Address - Country:US
Practice Address - Phone:772-212-1562
Practice Address - Fax:772-318-4231
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84639207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL180045340OtherINDIV RR-RAILROAD MEDICAR
FL265605100Medicaid
FL180045340OtherINDIV RR-RAILROAD MEDICAR
FLH67391Medicare UPIN