Wayne Forrest Judson
Specialist • Brandon, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wayne Judson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Wayne Judson was a registered Specialist practicing in Brandon, FL. Throughout an active medical career spanning 12 years, Wayne Judson provided care at the practice location at 500 VONDERBURG DR until profile deactivation on 2017-08-04.
Practice Location & Contact Primary Location
500 Vonderburg Dr
Suite 310w
Brandon, FL 335115964
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Brandon, FL
Practicing in Brandon, FL (3036 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant - Medical
Physician Assistant (Certified)
Nurse Practitioner - Adult Health
ARNPC
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Specialist
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 04, 2017
NPI status registered as active in NPPES database
Registered at 500 VONDERBURG DR, SUITE 310W, BRANDON, FL 335115964 (Tel: 8136818974)
Registered at 500 VONDERBURG DR, SUITE 310W, BRANDON, FL 335115964 (Tel: 8136818974)
Recorded as WAYNE JUDSON
Specialist (License #ME26707 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
500 Vonderburg Dr, Suite 310w
Brandon, FL 335115964
Phone: 8136818974
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