Rudoff-Perez, Danielle Lyn
Rudoff-Perez, Danielle Lyn is an sole proprietor health care provider with primary practice located at 1874 Se Port Saint Lucie Blvd Anesthesia Department, Port Saint Lucie FL 34952-5545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Rudoff-Perez, Danielle Lyn can be contacted via phone (772) 337-7676.Contact Information
Primary practice address
1874 Se Port Saint Lucie Blvd Anesthesia Department
Port Saint Lucie FL 34952-5545
Phone: (772) 337-7676
Fax: (772) 223-3605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN3410362 | Florida |
Profile Details
| NPI number | 1174554372 |
|---|---|
| LBN Legal business name | Rudoff-Perez, Danielle Lyn |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Dec 3rd, 2025 - about last year |
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 | 1174554372 | NPPES |
| Florida | MEDICAID | 307152900 | |
| Florida | Other | G3823 | |
| Florida | Other | P00761061 |
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