CAROL S. RUDOLPH (NPI# 1083846034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083846034 |
| Entity Type | Individual |
| Full Name | CAROL S. RUDOLPH |
| Credential | M.D. |
| Practice Address |
4949 S Congress Ave Ste B Lake Worth FL 33461-4731 |
| Practice Telephone | 5614338500 |
| Practice Fax Number | 5616416821 |
| Mailing Telephone | 5614338500 |
| Mailing Fax Number | 5616416821 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2014-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
50492 | FL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME 50492 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME 50492 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4949 S CONGRESS AVE STE B |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-4731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518360726 | Family Health Care of Delray, Inc. | Internal Medicine | 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 | 2014-10-01 |
| 1003975954 | Brenton David Thrasher | Internal Medicine | 811 S J St, Lake Worth, FL 33460-5043 | 2006-12-07 |
| 1043229941 | Anatole Krukas | Internal Medicine | Central Florida Substance Abuse Treatment Center, 3155 Lake Worth Rd, Lake Worth, FL 33461 | 2006-08-07 |
| 1760935696 | Sunshine Medical Systems Associates LLC | Internal Medicine | 3185 Boutwell Rd, Lake Worth, FL 33461-2610 | 2016-07-27 |
| 1275846800 | The Doctor's Office | Internal Medicine | 409 S Dixie Hwy, Lake Worth, FL 33460-4442 | 2010-07-25 |
| 1619121340 | Boutwell Medical Associates, LLC | Internal Medicine | 3185 Boutwell Rd, Lake Worth, FL 33461-2610 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427685411 | Mark Schellhammer LLC | Internal Medicine | 7151 University Blvd Ste 120, Winter Park, FL 32792-6724 | 2020-03-27 |
| 1619527157 | Amron Vitality and Wellness Center, LLC | Internal Medicine | 6339 Argyle Forest Blvd Ste 3, Jacksonville, FL 32244-6601 | 2019-09-17 |
| 1952769754 | R N Singh Enterprises Pllc | Internal Medicine | 11760 Lynmoor Dr, Riverview, FL 33579-7037 | 2016-02-08 |
| 1184043119 | Desert Rose Fl LLC | Internal Medicine | 835 Ardmore Rd, West Palm Beach, FL 33401-7631 | 2014-04-07 |
| 1265851299 | Clear Health of The Palm Beaches | Internal Medicine | 1095 Military Trl Unit 91, Jupiter, FL 33468-5005 | 2014-04-07 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1396182630 | Harp Diagnostics LLC | Internal Medicine | 2655 N Ocean Dr, 103, Riviera Beach, FL 33404-4751 | 2013-05-28 |
| 1861717514 | Fanuel Dorilas | Internal Medicine | 1229 Nw 40th Ave, Lauderhill, FL 33313-5801 | 2010-04-06 |
| 1730372178 | Michael P Strolla | Internal Medicine | 2214 A Henry Ave, Tampa, FL 33610 | 2007-08-20 |
| 1629159793 | Vinod Singh | Internal Medicine | 16725 Race Track Rd, Odessa, FL 33556-3024 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on CAROL S. RUDOLPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.