Individual
MR. RYAN WILSON MACALUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP, FNP-C
Contact information
Practice address
9009 CORPORATE LAKE DR, TAMPA, FL 33634-2367
(407) 274-8267
Mailing address
9009 CORPORATE LAKE DR, TAMPA, FL 33634-2367
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9204952
FL
363LF0000X
Family Nurse Practitioner
ARNP9204952
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9204952
FL
Other
Enumeration date
04/14/2015
Last updated
12/05/2025
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