Organization
ESTEBAN ALFONZO RUIZ MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FOX (OFFICE ADMINISTRATOR)
(727) 484-6169
Entity
Organization
Contact information
Practice address
13910 FIVAY RD STE 15, HUDSON, FL 34667-7130
(727) 375-1953
(727) 484-6173
Mailing address
13910 FIVAY RD STE 15, HUDSON, FL 34667-7130
(727) 375-1953
(727) 484-6173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME53805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049101200
—
FL
Enumeration date
03/10/2008
Last updated
06/05/2024
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