Provider Demographics
NPI:1407492341
Name:RUEDE, BETH ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:RUEDE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 S US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:MALABAR
Mailing Address - State:FL
Mailing Address - Zip Code:32950-6911
Mailing Address - Country:US
Mailing Address - Phone:321-292-0957
Mailing Address - Fax:
Practice Address - Street 1:1280 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:MALABAR
Practice Address - State:FL
Practice Address - Zip Code:32950-6911
Practice Address - Country:US
Practice Address - Phone:321-292-0957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor