Provider Demographics
NPI:1760440689
Name:HUDSON, JOSEPH C (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:HUDSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1111 LINCOLN RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2452
Mailing Address - Country:US
Mailing Address - Phone:305-673-8248
Mailing Address - Fax:305-675-0273
Practice Address - Street 1:1111 LINCOLN RD
Practice Address - Street 2:SUITE 310
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2452
Practice Address - Country:US
Practice Address - Phone:305-673-8248
Practice Address - Fax:305-675-0273
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH8694111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV07892Medicare UPIN
FL52105AMedicare PIN