Provider Demographics
NPI:1932958915
Name:HUDSON CENTER GROUP INC
Entity type:Organization
Organization Name:HUDSON CENTER GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELPIDIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRAZANA HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-906-7768
Mailing Address - Street 1:7825 N DALE MABRY HWY STE 28
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3207
Mailing Address - Country:US
Mailing Address - Phone:727-906-7768
Mailing Address - Fax:
Practice Address - Street 1:7825 N DALE MABRY HWY STE 28
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3207
Practice Address - Country:US
Practice Address - Phone:727-906-7768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies