Ruddock, Michelle

Ruddock, Michelle is an individual health care provider with primary practice located at 109 Jfk Dr Ste C , Atlantis FL 33462-6617. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ruddock, Michelle can be contacted via phone (615) 818-4965.

Contact Information

Primary practice address
109 Jfk Dr Ste C Atlantis FL 33462-6617
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11002621 Florida

Profile Details

NPI number 1508411158
LBN Legal business name Ruddock, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2019
Last updated Jan 30th, 2024 - about 8 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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