Individual
EILEEN J RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2201 NORTH BLVD W, DAVENPORT, FL 33837-8990
(863) 419-0688
Mailing address
12263 SW 19TH ST, MIAMI, FL 33175-1172
(786) 553-5206
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11024158
FL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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