Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxine a Ruddock PHD P A

Organization Case Management Agency · NPI 1578732632

Maxine a Ruddock PHD P A is a Case Management Agency in Tavares, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2511 Dora Ave
Tavares, FL 32778-4977
Phone: (352) 508-5399
Fax: (917) 677-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence PY7658 (FL)
Case Management Agency Taxonomy 251B00000X · Licence PY7658 (FL)

Record details

NPI number1578732632
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maxine Ruddock — Director · (352) 508-5399
Other names Comprehensive Psychological & Assessment Services
NPI enumeratedFebruary 22, 2008
Last updated in NPPESApril 27, 2015
Mailing address2511 Dora Ave, Tavares, FL 32778-4977

Other providers in Tavares