Rudin, Mitchell Jay

Rudin, Mitchell Jay is an sole proprietor health care provider with primary practice located at 11620 Nw 28Th St , Coral Springs FL 33065-3490. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rudin, Mitchell Jay can be contacted via phone (954) 255-9262.

Contact Information

Primary practice address
11620 Nw 28Th St Coral Springs FL 33065-3490
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA19369 Florida

Profile Details

NPI number 1346264165
LBN Legal business name Rudin, Mitchell Jay
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1346264165 NPPES
Florida Other MA19369 LICENSED MASSAGE THERAPIS

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