Organization
CAMILO RUIZ DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILO RUIZ DO (OWNER)
(954) 839-6987
Entity
Organization
Contact information
Practice address
1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316-1809
(954) 839-6987
(954) 839-6923
Mailing address
1319 SE 2ND AVENUE, FORT LAUDERDALE, FL 33316-1809
(954) 839-6987
(954) 839-6923
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115525000
—
FL
01
—
DQ885B
MEDICARE PTAN
FL
Enumeration date
05/26/2010
Last updated
12/09/2022
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