Individual
ALAN T RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 CATTLEMEN RD STE 100, SARASOTA, FL 34232
(941) 379-5884
(844) 876-0873
Mailing address
PO BOX 978743, DALLAS, TX 75397-8743
(317) 614-9863
(844) 876-0873
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME21545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100588600
—
FL
01
—
30070
BCBS
FL
Enumeration date
08/23/2006
Last updated
12/03/2018
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