Dr Omar Dean Hudson, MD | |
1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 | |
(321) 723-0072 | |
(321) 952-0850 |
Full Name | Dr Omar Dean Hudson |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 1223 Gateway Dr Ste 1g, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043417421 | NPI | - | NPPES |
9796123 | Other | FL | AETNA |
CQ236Y | Other | FL | MEDICARE |
000990300 | Medicaid | FL | |
29192 | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME103869 (Florida) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | ME103869 (Florida) | Primary |
Entity Name | Health First Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
Mailing Address | Practice Location Address |
---|---|
Dr Omar Dean Hudson, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 723-0072 | Dr Omar Dean Hudson, MD 1223 Gateway Dr Ste 1g, Melbourne, FL 32901-2607 Ph: (321) 723-0072 |
Dr. Hiep Le Nguyen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Dr. Robert E Leiba, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1755 W Hibiscus Blvd, Melbourne, FL 32901 Phone: 321-724-5437 Fax: 321-724-5570 | |
Brenda Lis Figueras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Dr. Julio Daniel Vallette Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Hickory St, Melbourne, FL 32901 Phone: 321-434-7243 | |
Dr. Faris M. Al-mousily, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3021 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934 Phone: 321-275-5444 Fax: 321-275-3799 | |
Joshua Lee Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 407-975-0410 Fax: 407-975-0413 |