Rudolph, Richard B

Rudolph, Richard B is an individual health care provider with primary practice located at 508 Jeffords St Suite C, Clearwater FL 33756-3839. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Rudolph, Richard B can be contacted via phone (727) 461-2757.

Contact Information

Primary practice address
508 Jeffords St Suite C Clearwater FL 33756-3839
Phone: (727) 461-2757
Fax: (727) 447-0314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0073548 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME0073548 Florida

Profile Details

NPI number 1366430654
LBN Legal business name Rudolph, Richard B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jun 22nd, 2023 - about 2 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 1366430654 NPPES
Florida MEDICAID 023702300

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