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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1346247418 | NPPES |
| Florida | MEDICAID | 252256000 |
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