DANIELLE A RUDNICK (NPI# 1952757486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952757486 |
| Entity Type | Individual |
| Full Name | DANIELLE A RUDNICK |
| Credential | PA |
| Practice Address |
22029 State Road 7 Ste 1 Boca Raton FL 33428-4200 |
| Practice Telephone | 5619230905 |
| Mailing Telephone | 5619230905 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9109471 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103252800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6400 W Newberry Rd, #302, Gainesville, FL 326056605 | 3523318902 |
| Street Address |
22029 STATE ROAD 7 STE 1 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790171353 | Eric Rudnick | Dermatology | 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 | 2015-04-10 |
| 1336752120 | Dazzling Dermatology, Pllc | Dermatology | 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053941625 | Alexa Ely Maziuk | Physician Assistant | 246 E Camino Real, Boca Raton, FL 33432-6132 | 2020-01-22 |
| 1881238814 | Hannah Speer | Physician Assistant | 2427 Nw 49th Ln, Boca Raton, FL 33431-4337 | 2019-11-02 |
| 1396387122 | Martin Kent | Physician Assistant | 1599 Nw 9th Ave Ste 203, Boca Raton, FL 33486-1310 | 2019-10-14 |
| 1841841442 | Rachel Lauren Nebenzahl | Physician Assistant | 1601 Clint Moore Rd Ste 195, Boca Raton, FL 33487-5716 | 2019-09-25 |
| 1447800701 | Alisha Goldberg | Physician Assistant | 670 Glades Rd Ste 100, Boca Raton, FL 33431-6462 | 2019-09-18 |
| 1275189318 | Tatyana Gatina | Physician Assistant | 8505 Via D Oro, Boca Raton, FL 33433-2243 | 2019-08-14 |
| 1285192153 | Daniela Concha-alecchi | Physician Assistant | 7600 Camino Real Ste 102, Boca Raton, FL 33433-5514 | 2019-03-08 |
| 1144702168 | Sophia Theodorou | Physician Assistant | 7600 Camino Real, Boca Raton, FL 33433-5514 | 2018-09-06 |
| 1477048304 | Katherine Macbarron | Physician Assistant | 2200 Glades Rd Ste 305, Boca Raton, FL 33431-7348 | 2018-06-23 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
Please comment or provide details below to improve the information on DANIELLE A RUDNICK.
| 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.