Individual
DANIELLE LYN RUDOFF-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1874 SE PORT SAINT LUCIE BLVD, ANESTHESIA DEPARTMENT, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 223-3605
Mailing address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 223-3605
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN3410362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307152900
—
FL
01
—
G3823
BCBS OF FLORIDA
FL
01
—
P00761061
RAILROAD MEDICARE
FL
Enumeration date
07/05/2006
Last updated
12/03/2025
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