LARISSA SOPHIA DUDLEY — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, FL)
LARISSA SOPHIA DUDLEY — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, FL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LARISSA SOPHIA DUDLEY; Type: Individual; NPI: 1003251422.
| Name | LARISSA SOPHIA DUDLEY |
|---|---|
| Type | Individual |
| NPI | 1003251422 |
| Provider type | PRACTITIONER - EMERGENCY MEDICINE |
| State | FL |
| Enrollment ID | I20171214001428 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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