Provider Demographics
NPI:1629406202
Name:TODD HUDSON HOLISTIC HEALTH & CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:TODD HUDSON HOLISTIC HEALTH & CHIROPRACTIC, LLC
Other - Org Name:HUDSON HOLISTIC HEALTH & CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:941-554-4730
Mailing Address - Street 1:3540 S OSPREY AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5925
Mailing Address - Country:US
Mailing Address - Phone:941-554-4730
Mailing Address - Fax:941-554-4765
Practice Address - Street 1:3540 S OSPREY AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5925
Practice Address - Country:US
Practice Address - Phone:941-554-4730
Practice Address - Fax:941-554-4765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7687111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty