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MAKSIM DUDENKOV
NPI 1508657487
Pharmacist in Jacksonville, FL

Active since May 13, 2025
11555 CENTRAL PKWY, JACKSONVILLE, FL 32224(904) 885-2785 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maksim Dudenkov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAKSIM DUDENKOV (NPI 1508657487) is an individual pharmacist in Jacksonville, Florida, licensed in Florida (PS57804) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1508657487
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMAKSIM DUDENKOV
Location Address11555 CENTRAL PKWYJacksonville, FL 32224-2691
Mailing Address11555 Central PkwyJacksonville, FL 32224-2691
Phone(904) 885-2785
Sole ProprietorNo
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1508657487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS57804
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
11555 CENTRAL PKWY, Jacksonville, FL 32224
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIMA NASSOUR NASSOUR MD
Internal Medicine (Infectious Disease)
11555 CENTRAL PKWY, SUITE 204
JACKSONVILLE, FL 32224
Duval County (904) 646-1987
LUIS U RAMIREZ MD
Internal Medicine (Infectious Disease)
11555 CENTRAL PKWY, STE 200
JACKSONVILLE, FL 32224
Duval County (904) 253-3512
MS. LISA PERMENTER ARNP
Nurse Practitioner (Family)
11555 CENTRAL PKWY, SUITE 304
JACKSONVILLE, FL 32224
Duval County (904) 265-7755
MRS. ASHLEY L HORN ARNP
Nurse Practitioner
11555 CENTRAL PKWY, SUITE 201
JACKSONVILLE, FL 32224
Duval County (904) 646-3420
LUIS U RAMIREZ MD PA
Internal Medicine (Infectious Disease)
11555 CENTRAL PKWY, STE 200
JACKSONVILLE, FL 32224
Duval County (904) 955-5860
MR. CHARLES TRAVIS GREENLEY PA-C
Physician Assistant
11555 CENTRAL PKWY, SUITE 304
JACKSONVILLE, FL 32224
Duval County (904) 265-7755
LAUREN TIMNEY LMHC MS
Psychologist (Counseling)
11555 CENTRAL PKWY, SUITE 704
JACKSONVILLE, FL 32224
Duval County (904) 704-2527
DR. FERDINAND JOSEPH FORMOSO D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
11555 CENTRAL PKWY, SUITE 304
JACKSONVILLE, FL 32224
Duval County (904) 265-7755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maksim Dudenkov's NPI number?

The NPI number for Maksim Dudenkov is 1508657487. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Maksim Dudenkov located?

Maksim Dudenkov practices at 11555 Central Pkwy, Jacksonville, FL 32224. The listed phone number is (904) 885-2785.

What is Maksim Dudenkov's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Maksim Dudenkov was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.