Rudolph, Theodor Major
Rudolph, Theodor Major is an sole proprietor health care provider with primary practice located at 3900 20Th St , Vero Beach FL 32960-2413. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Rudolph, Theodor Major can be contacted via phone (772) 299-4000.Contact Information
Primary practice address
3900 20Th St
Vero Beach FL 32960-2413
Phone: (772) 299-4000
Fax: (772) 299-4001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ME79805 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME79805 | Florida |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME79805 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME79805 | Florida |
Profile Details
| NPI number | 1700861382 |
|---|---|
| LBN Legal business name | Rudolph, Theodor Major |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Sep 14th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700861382 | NPPES |
| Florida | MEDICAID | 261870200 |
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