Individual
BRANDON RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7632
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001213067
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9446675
FL
Other
Enumeration date
04/21/2015
Last updated
10/13/2023
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