NPI 1003963901

Elaine Marie Judy, ATC

Practitioner Specialist Winter Park, FL

Practice location

Address: 2100 Summerfield Rd, Winter Park, FL 32792-5037
Phone: (407) 622-3217
Fax: (407) 622-3214
Mailing address: 808 W Winter Park St, Orlando, FL 32804-4904

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence AL477 (FL)

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Registry record

NPI: 1003963901
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.