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Organization
RUDI E IDE & ASSOC INC
Active
Organization
RUDI E IDE & ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDI E IDE RPT (PRESIDENT)
(561) 338-6100
Entity
Organization
Contact information
Practice address
1500 NW 10TH AVE, #201, BOCA RATON, FL 33486-1312
(561) 338-6100
(561) 338-6434
Mailing address
1500 NW 10TH AVE, #201, BOCA RATON, FL 33486-1312
(561) 338-6100
(561) 338-6434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
HCC4932
FL
225X00000X
Occupational Therapist
HCC4932
FL
Other
Enumeration date
09/29/2006
Last updated
02/02/2012
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