Provider Demographics
NPI:1669784724
Name:HUDSON, BRIAN K (DO, PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:K
Last Name:HUDSON
Suffix:
Gender:M
Credentials:DO, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 NORTHCLIFFE BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1139
Mailing Address - Country:US
Mailing Address - Phone:352-515-5040
Mailing Address - Fax:813-336-4466
Practice Address - Street 1:8355 NORTHCLIFFE BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1139
Practice Address - Country:US
Practice Address - Phone:352-515-5040
Practice Address - Fax:352-515-5037
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13172207T00000X
IL125.056266207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIJ343YMedicare PIN