Moise, Guy Rudolph

Moise, Guy Rudolph is an sole proprietor health care provider with primary practice located at 650 Nw 120Th St , North Miami FL 33168-2529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moise, Guy Rudolph can be contacted via phone (305) 688-0811.

Contact Information

Primary practice address
650 Nw 120Th St North Miami FL 33168-2529
Phone: (305) 688-0811
Fax: (305) 687-5831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS 0004440 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS4440 Florida

Profile Details

NPI number 1366431983
LBN Legal business name Moise, Guy Rudolph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Feb 23rd, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366431983 NPPES
Florida Other 03674 WELLCARE
Florida MEDICAID 068084200 WELLCARE
Florida Other 03674 WELLCARE
Florida Other 210849 WELLCARE
Florida Other E12050 WELLCARE
Florida Other 004303 WELLCARE
Florida Other 82599 WELLCARE

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