Doctor Name: | MS. JENNIFER ANNE UDZINSKI |
NPI Number: | 1144328238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS PA-C |
License Number: | PA9102799 |
Business Practice Address: | 938 Sw Martin Downs Blvd Palm City, FL - 349902816 |
Business Phone Number: | 7722236410 |
Business Fax Number: | 7722230092 |
Mailing Address: | 4981 Sw Saint Creek Dr, PALM CITY |
State: | FL |
Postal Code: | 349908815 |
Phone Number: | 7726316493 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9102799 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |