Doctor Name: | HENRY RUDD |
NPI Number: | 1861860868 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PMD520522 |
Business Practice Address: | 111 Jim Moran Blvd Deerfield Bch, FL - 334421701 |
Business Phone Number: | 9544292418 |
Business Fax Number: | |
Mailing Address: | 111 Jim Moran Blvd, DEERFIELD BCH |
State: | FL |
Postal Code: | 334421701 |
Phone Number: | 9544292418 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2015 |
NPI Last Update Date: | 09/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | PMD520522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |