Provider Demographics
NPI:1922026863
Name:DUDNEY, WILLIAM CROSS III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CROSS
Last Name:DUDNEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S MACDILL AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3130
Mailing Address - Country:US
Mailing Address - Phone:813-873-2036
Mailing Address - Fax:813-874-2034
Practice Address - Street 1:205 S MACDILL AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3130
Practice Address - Country:US
Practice Address - Phone:813-873-2036
Practice Address - Fax:813-874-2034
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00615252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL44505Medicare ID - Type Unspecified
FLD29339Medicare UPIN