Provider Demographics
NPI:1437226909
Name:HUDSON, DEBORAH (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:HUDSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor