Provider Demographics
NPI:1174712145
Name:HUDACK, MICHAEL ERNST (ARNP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ERNST
Last Name:HUDACK
Suffix:
Gender:M
Credentials:ARNP
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Mailing Address - Street 1:11715 RANGELAND PKWY
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-9529
Mailing Address - Country:US
Mailing Address - Phone:941-538-0092
Mailing Address - Fax:941-583-0093
Practice Address - Street 1:11715 RANGELAND PKWY
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-9529
Practice Address - Country:US
Practice Address - Phone:941-538-0092
Practice Address - Fax:941-538-0093
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2024-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9372729363L00000X
PASP009513363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care