Individual
DR. JACKELINE LOPEZ RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8075 SW STATE RD 200, STE 118, OCALA, FL 34481
(352) 414-4511
(352) 414-4101
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21359
PR
208D00000X
General Practice Physician
Primary
ACN1303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109164100
—
FL
Enumeration date
06/26/2019
Last updated
02/27/2026
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