Maxine A Ruddock Phd P A in Tavares - Case Management
Maxine A Ruddock Phd P A - NPI 1578732632
Maxine A Ruddock Phd P A is a Case Management in Tavares, Florida. Maxine A Ruddock Phd P A practices all healthcare services and medical treatments related to Case Management. The NPI Number for Maxine A Ruddock Phd P A is 1578732632. The last update date is 2015-04-27.
Maxine A Ruddock Phd P A's current location address is 2511 Dora Ave, Tavares, Florida. You can contact this provider via phone number 3525085399 and fax number 9176777121. The mailing address for Maxine A Ruddock Phd P A is 2511 Dora Ave, Tavares, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maxine A Ruddock Phd P A |
|---|---|
| Address | 2511 Dora Ave, Tavares, Florida |
| Phone Number | 3525085399 |
| Fax Number | 9176777121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Ruddock A Maxine |
| Credentials | PH.D. |
| Telephone Number | 3525085399 |
NPI Number Detail
| NPI Number | 1578732632 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2015-04-27 |
Provider Mailing Address Detail
| Address | 2511 Dora Ave |
|---|---|
| City | Tavares |
| State | Florida (FL) |
| Post Code | 327784977 |
| Phone Number | 3525085399 |
| Fax Number | 9176777121 |
Provider's Primary Taxonomy Detail
| Speciality | Case Management |
|---|---|
| Taxonomy | 251B00000X |
| Licence No | PY7658 |
|
Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4100303 | FL | -- | |
| 4100300 | FL | -- | |
| 8487400 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Maxine A Ruddock Phd P A by the Centers for Medicare & Medicaid Services?
The Maxine A Ruddock Phd P A has been assigned the NPI (National Provider Identifier) 1578732632 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Maxine A Ruddock Phd P A's facilities are situated?
The facilities of Maxine A Ruddock Phd P A are physically located at the following address: 2511 Dora Ave, Tavares, FL, 327784977.
What is the Maxine A Ruddock Phd P A's area of specialization and corresponding taxonomy classification?
The Maxine A Ruddock Phd P A's specialty field is Case Management, and it falls under the taxonomy code 251B00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1578732632 to Maxine A Ruddock Phd P A?
The Centers for Medicare & Medicaid Services assigned the 1578732632 to Maxine A Ruddock Phd P A on 2008-02-22.
When was the Maxine A Ruddock Phd P A's information last updated?
The Maxine A Ruddock Phd P A's information was last updated on 2015-04-27.
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