Christopher B Dudley, LDO
Technician/Technologist, Optician in Tampa, FL. Individual provider (NPI-1).
NPI number1942079298
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1942079298
- Entity type
- Individual (NPI-1)
- Name
- Christopher B Dudley
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2023
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | DO6955 | FL | Yes |
Practice location
2502 N Rocky Point Dr Ste 230Tampa, FL 33607-1451
Phone 813-499-8600
Mailing address
2502 N Rocky Point DrTampa, FL 33607-1421
Phone 813-499-8600
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