Ruddy, Michael J

Ruddy, Michael J is an sole proprietor health care provider with primary practice located at 1960 Ne 47Th St Ste 102 , Ft Lauderdale FL 33308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ruddy, Michael J can be contacted via phone (954) 463-3200.

Contact Information

Primary practice address
1960 Ne 47Th St Ste 102 Ft Lauderdale FL 33308
Phone: (954) 463-3200
Fax: (954) 463-3292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME44143 Florida

Profile Details

NPI number 1063401990
LBN Legal business name Ruddy, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Jul 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063401990 NPPES
Florida MEDICAID 054726300

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