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CAROL S. RUDOLPH M.D.
NPI 1083846034
Internal Medicine - Addiction Medicine in Lake Worth, FL

Active since August 10, 2009
4949 S CONGRESS AVE STE B, LAKE WORTH, FL 33461(561) 433-8500(561) 641-6821 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol S. Rudolph M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL S. RUDOLPH M.D. (NPI 1083846034) is an individual addiction medicine provider in Lake Worth, Florida, licensed in Florida (50492) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1083846034
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameCAROL S. RUDOLPHCredential: M.D.
Location Address4949 S CONGRESS AVE STE BLake Worth, FL 33461-4731
Mailing Address4949 S Congress Ave Ste BLake Worth, FL 33461-4731 · (561) 433-8500 · Fax (561) 641-6821
Phone(561) 433-8500
Fax(561) 641-6821
Sole ProprietorNo
Enumeration DateAugust 10, 2009
Last NPPES UpdateAugust 11, 2014
✔ NPI 1083846034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in FL · 50492
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME 50492 (FL)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License ME 50492 (FL)
4949 S CONGRESS AVE STE B, Lake Worth, FL 33461
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Other Identifiers 1

Medicare UPIND20801FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Rudolph's NPI number?

The NPI number for Carol Rudolph is 1083846034. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Carol Rudolph located?

Carol Rudolph practices at 4949 S Congress Ave Ste B, Lake Worth, FL 33461. The listed phone number is (561) 433-8500.

What is Carol Rudolph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Carol Rudolph was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.