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Individual

RUCHI AJAY AMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
300 NW 70TH AVE STE 202, PLANTATION, FL 33317-2367
(954) 584-8500
Mailing address
300 NW 70TH AVE STE 202, PLANTATION, FL 33317-2367
(954) 584-8500

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
155195
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/04/2013
Last updated
09/07/2022
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