Provider Demographics
NPI:1881828168
Name:JANETTE L. HUDSON, INC.
Entity Type:Organization
Organization Name:JANETTE L. HUDSON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:ORF, CFO
Authorized Official - Phone:954-822-9790
Mailing Address - Street 1:200 SE 6TH ST
Mailing Address - Street 2:SUITE 604
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3427
Mailing Address - Country:US
Mailing Address - Phone:954-822-9790
Mailing Address - Fax:888-661-1222
Practice Address - Street 1:200 SE 6TH ST
Practice Address - Street 2:SUITE 604
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3427
Practice Address - Country:US
Practice Address - Phone:954-822-9790
Practice Address - Fax:888-661-1222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier