Individual
MR. NICHOLAS WARD RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1880 37TH STREET, SUITE 4, VERO BEACH, FL 32960-4502
(772) 569-0081
(772) 569-0819
Mailing address
PO BOX 99, VERO BEACH, FL 32961-0099
(772) 569-0081
(772) 569-0819
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P02624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65519
BCBS
FL
Enumeration date
07/25/2006
Last updated
07/25/2019
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