THEODOR RUDOLPH, M.D.

Dermatology

Active Individual
NPI: 1700861382

Practice Address

3900 20TH ST
Vero Beach, FL 32960

Phone: (772) 299-4000

Specialties

Specialty Code Primary License
Dermatology - Pediatric Dermatology 207NP0225X No ME79805 (FL)
Dermatology - MOHS-Micrographic Surgery 207ND0101X No ME79805 (FL)
Dermatology - Procedural Dermatology 207NS0135X No ME79805 (FL)
Dermatology 207N00000X Yes ME79805 (FL)

Frequently Asked Questions

NPI 1700861382 is the National Provider Identifier for THEODOR RUDOLPH, M.D., a Dermatology provider located in Vero Beach, FL. This NPI was enumerated on December 7, 2005.
THEODOR RUDOLPH, M.D. practices at 3900 20TH ST, Vero Beach, FL 32960.

Quick Facts

NPI
1700861382
Type
Individual
Enumerated
Dec 7, 2005
Last Updated
Sep 14, 2020

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