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Individual

DANIELLE A RUDNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
22029 STATE ROAD 7 STE 1, BOCA RATON, FL 33428-4200
(561) 923-0905
Mailing address
22029 STATE ROAD 7 STE 1, BOCA RATON, FL 33428-4200
(561) 923-0905

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109471
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103252800
FL
Enumeration date
05/13/2016
Last updated
10/07/2020
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