Individual
HENRY RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 JIM MORAN BLVD, DEERFIELD BCH, FL 33442-1701
(954) 429-2418
Mailing address
111 JIM MORAN BLVD, DEERFIELD BCH, FL 33442-1701
(954) 429-2418
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PMD520522
FL
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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