Individual
DR. BEETHOVEN T RUEDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
865 BLANDING BLVD, ORANGE PARK, FL 32065-8917
(904) 276-1133
(904) 276-1821
Mailing address
4231 SNOWDON LN, JACKSONVILLE, FL 32225-1627
(904) 641-7082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME29914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252256000
—
FL
Enumeration date
07/05/2005
Last updated
02/25/2010
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