Jack Ruddock, Tatyana Eastlyn
Jack Ruddock, Tatyana Eastlyn is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Ste 502 , Ft Lauderdale FL 33316-2521. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jack Ruddock, Tatyana Eastlyn can be contacted via phone (954) 581-8706.Contact Information
Primary practice address
1625 Se 3Rd Ave Ste 502
Ft Lauderdale FL 33316-2521
Phone: (954) 581-8706
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 9314525 | Florida |
Profile Details
| NPI number | 1144722422 |
|---|---|
| LBN Legal business name | Jack Ruddock, Tatyana Eastlyn |
| Credentials | CNM, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2018 |
| Last updated | Mar 2nd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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