Individual
MISS JESSICA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16511 NW 1ST ST, PEMBROKE PINES, FL 33028-1440
(305) 323-2764
Mailing address
16511 NW 1ST ST, PEMBROKE PINES, FL 33028-1440
(305) 323-2764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11008496
FL
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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