MEDICARE: RUFUS JOSEPH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME52086	FL

General Provider Information

NPI Number	:	1720069362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUFUS JOSEPH M.D.

Provider Business Mailing Address
First Line	:	1600 N STATE ROAD 7
Second Line	:	SUITE 300
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-5853
Country	:	US
Telephone Number	:	954-581-1977
Fax Number	:	954-583-1667

Provider Business Practice Location Address
First Line	:	1600 N STATE ROAD 7
Second Line	:	SUITE 300
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-5853
Country	:	US
Telephone Number	:	954-581-1977
Fax Number	:	954-583-1667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	07/08/2007

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