Doctor Name: | EDITH RUIZ |
NPI Number: | 1013029123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA9102920 |
Business Practice Address: | 1150 N 35th Ave Suite 135 Hollywood, FL - 330215424 |
Business Phone Number: | 9549855969 |
Business Fax Number: | 9549653599 |
Mailing Address: | Po Box 862233, ORLANDO |
State: | FL |
Postal Code: | 328862233 |
Phone Number: | 9542655969 |
Fax Number: | 9549653599 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 08/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA9102920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |