Individual
GEOFFREY RUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3305 RICE ST, COCONUT GROVE, FL 33133-5216
(415) 420-9504
Mailing address
601 NW 22ND CT, WILTON MANORS, FL 33311-3741
(415) 420-9504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11861
FL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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