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Organization
FORT LAUDERDALE ORTHOPAEDICS PL
Active
Organization
FORT LAUDERDALE ORTHOPAEDICS PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J RUDDY (CEO)
(954) 463-3200
Entity
Organization
Contact information
Practice address
1960 NE 47TH ST STE 102, FT LAUDERDALE, FL 33308
(954) 463-3200
(954) 463-3292
Mailing address
1960 NE 47TH ST STE 102, FT LAUDERDALE, FL 33308-7708
(954) 463-3200
(954) 463-3292
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME44143
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME44143
FL
332B00000X
Durable Medical Equipment & Medical Supplies
ME44143
FL
Other
Enumeration date
05/22/2008
Last updated
07/06/2018
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