Provider Demographics
NPI:1699982041
Name:RUDES, JAMES (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:RUDES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 174TH ST
Mailing Address - Street 2:APT 2101
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3200
Mailing Address - Country:US
Mailing Address - Phone:305-932-1229
Mailing Address - Fax:305-899-3718
Practice Address - Street 1:290 174TH ST
Practice Address - Street 2:APT 2101
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3200
Practice Address - Country:US
Practice Address - Phone:305-932-1229
Practice Address - Fax:305-899-3718
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW25451041C0700X
FLMT1429106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist