Provider Demographics
NPI:1811040934
Name:PLETT, JUDITH ANNE (MD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANNE
Last Name:PLETT
Suffix:
Gender:F
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:PO BOX 1729
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-1729
Mailing Address - Country:US
Mailing Address - Phone:407-876-3700
Mailing Address - Fax:407-876-3701
Practice Address - Street 1:422 MAIN STREET
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786
Practice Address - Country:US
Practice Address - Phone:407-876-3700
Practice Address - Fax:407-876-3701
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME46543207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine