Provider Demographics
NPI:1831169770
Name:HUDSON, TODD STEVEN (DC)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:STEVEN
Last Name:HUDSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 S OSPREY AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5925
Mailing Address - Country:US
Mailing Address - Phone:941-554-4730
Mailing Address - Fax:941-554-4765
Practice Address - Street 1:3540 S OSPREY AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5925
Practice Address - Country:US
Practice Address - Phone:941-554-4730
Practice Address - Fax:941-554-4765
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7687111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54001OtherBC BS
FL7815233OtherAETNA
FLE3417ZMedicare ID - Type Unspecified
FL7815233OtherAETNA