Individual
DR. DENNIS JASON RUDITSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21297 OLEAN BLVD STE A, PORT CHARLOTTE, FL 33952-6704
(855) 979-5700
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME123760
FL
314000000X
Skilled Nursing Facility
287383
NY
Other
Enumeration date
07/11/2012
Last updated
12/02/2019
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