Ruedas, Beethoven T

Ruedas, Beethoven T is an sole proprietor health care provider with primary practice located at 865 Blanding Blvd , Orange Park FL 32065-8917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ruedas, Beethoven T can be contacted via phone (904) 276-1133.

Contact Information

Primary practice address
865 Blanding Blvd Orange Park FL 32065-8917
Phone: (904) 276-1133
Fax: (904) 276-1821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME29914 Florida

Profile Details

NPI number 1346247418
LBN Legal business name Ruedas, Beethoven T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Feb 25th, 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 1346247418 NPPES
Florida MEDICAID 252256000

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