Maxine A Ruddock (NPI# 1205014461, PAC ID# 2466522529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1205014461 |
| PAC ID by PECOS | 2466522529 |
| Professional Enrollment ID | I20080531000094 |
| Full Name | Maxine A Ruddock |
| Address |
322 N Barrow Ave Tavares FL 32778-3002 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5104 N Orange Blossom Trl, Suite 116, Orlando, FL 32810-1013 | ||
| 322 N Barrow Ave, Tavares, FL 32778-3002 |
| Street Address |
322 N BARROW AVE |
| City | TAVARES |
| State | FL |
| Zip | 32778-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth E Stark | Rheumatology | 1613 Banning Beach Rd, Tavares, FL 32778-2024 | |
| Karen K Estill | Psychologist, Clinical | 101 E Maud St, Tavares, FL 32778-3249 | |
| Deborah W Ho | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Brian L Boyd | Psychologist, Clinical | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Marvin L Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Juliet Smith | Clinical Social Worker | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| Amberlee K Henson | Clinical Psychologist | Counseling and Development Center Inc | 101 E Maud St, Tavares, FL 32778-3249 |
| David L Frerking | Chiropractic | 915 E Alfred St, Tavares, FL 32778-3401 | |
| Ebony Monique Rollins | Nurse Practitioner | Community Health Centers, Inc | 212 E Main St, Tavares, FL 32778-3808 |
| Breanna J. Ferguson | Podiatry | 870 S Duncan Dr, Tavares, FL 32778-4044 | |
| Find all physicians in zip 32778 | |||
| City | TAVARES |
| Zip Code | 32778 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | TAVARES + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Maxine A Ruddock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.