Individual
BRONWYN RUDDY STALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-2030
(407) 303-2040
Mailing address
2501 N ORANGE AVE STE 182, ORLANDO, FL 32804-4675
(407) 303-2030
(407) 303-2040
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101239937
VA
2085R0001X
Radiation Oncology Physician
Primary
ME136490
FL
Other
Enumeration date
06/23/2006
Last updated
10/22/2018
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