Ruddy, Patrick J

Ruddy, Patrick J is an individual health care provider with primary practice located at 325 Avenue 'B', Nw , Winter Haven FL 33881-4651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ruddy, Patrick J can be contacted via phone (863) 291-4000.

Contact Information

Primary practice address
325 Avenue 'B', Nw Winter Haven FL 33881-4651
Phone: (863) 291-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME67160 Florida

Profile Details

NPI number 1770520538
LBN Legal business name Ruddy, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 18th, 2010 - about 14 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 1770520538 NPPES
Florida Other 26262 BLUE CROSS BLUE SHIELD FL
Florida MEDICAID 376422200 BLUE CROSS BLUE SHIELD FL
Florida Other 50056275 BLUE CROSS BLUE SHIELD FL
Florida Other SSN BLUE CROSS BLUE SHIELD FL

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