Evan Rudd, DC | |
424 Skinner Blvd, Dunedin, FL 34698-4995 | |
(727) 599-1039 | |
Not Available |
Full Name | Evan Rudd |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 424 Skinner Blvd, Dunedin, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497534804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 14628 (Florida) | Primary |
Provider Name | Mawn Chiropractic Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306418678 PECOS PAC ID: 0941684716 Enrollment ID: O20220826003116 |
Mailing Address | Practice Location Address |
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Evan Rudd, DC 424 Skinner Blvd, Dunedin, FL 34698-4995 Ph: (727) 330-6718 | Evan Rudd, DC 424 Skinner Blvd, Dunedin, FL 34698-4995 Ph: (727) 599-1039 |
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