Individual
AVIDAH H RUDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 BONITA BEACH RD SE STE 201, BONITA SPRINGS, FL 34135-4683
(239) 441-2932
(239) 441-4045
Mailing address
6321 DANIELS PKWY STE 200, FORT MYERS, FL 33912-4710
(239) 416-8101
(239) 402-8601
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME142399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124211000
—
FL
Enumeration date
05/24/2006
Last updated
08/01/2025
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