Individual
DR. MICHAEL J RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054726300
—
FL
Enumeration date
10/13/2005
Last updated
07/06/2018
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