Individual
DR. JOSE L RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 SUN N LAKE BLVD STE 102, SEBRING, FL 33872-2138
(863) 402-3161
(863) 402-8244
Mailing address
1172 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(407) 518-1810
(407) 201-8834
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME58319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201309361
COMMERCIAL
—
Enumeration date
07/30/2007
Last updated
12/06/2019
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