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Maxine A Ruddock Phd P A

Community/Behavioral Health Agency in Tavares, FL · enumerated 2008 · authorized official Maxine Ruddock, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578732632

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Registry record

Entity type Organization (Type 2)
Legal business name Maxine A Ruddock Phd P A
Other name <Unavail>
Practice address 2511 Dora Ave, Tavares, FL, 32778
Phone (352) 508-5399
Fax (917) 677-7121
Enumeration date Feb 22, 2008
Last updated in NPPES Apr 27, 2015

Taxonomy & classification

251B00000X Case Management Agency Agencies · License PY7658 (FL) Secondary
251S00000X Community/Behavioral Health Agency Agencies · License PY7658 (FL) Primary

Authorized official

Name Maxine Ruddock
Title Director
Phone (352) 508-5399

Other identifiers

Identifier Type State Issuer
004100303 Medicaid FL -
004100300 Medicaid FL -
008487400 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Maxine A Ruddock Phd P A located?
The practice location on file with NPPES is in Tavares, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-04-27. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-27.