Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME0038790 | FL |
Y | 207X00000X | Orthopaedic Surgeon | ME38790 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | ME38790 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME38790 | FL |
NPI | 1093716011 |
---|---|
Provider Name | Dr. Howard Jay Rudnick |
First Address | Boca Raton, FL 33496 |
Second Address | Delray Beach, FL 33445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2005 |
Last Update Date | 16/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
044069800 | (05) | FL |
C75486 | (02) | FL |