Individual
ALYSE NICOLE RUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1708 CAPE CORAL PKWY W STE 6, CAPE CORAL, FL 33914-6985
(239) 540-1495
(239) 549-1080
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119737
FL
Other
Enumeration date
12/19/2024
Last updated
04/17/2025
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