Individual
RUDINEY JEFERSON DARUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 FLATBUSH AVE UNIT 503, BROOKLYN, NY 11226-3101
(407) 536-1134
(260) 235-5077
Mailing address
815 FLATBUSH AVE UNIT 503, BROOKLYN, NY 11226-3101
(407) 536-1134
(260) 235-5077
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
11053063
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
11053063
FL
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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