Individual
DR. THOMAS B RUFFIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
651 N ALAFAYA TRL, ORLANDO, FL 32828-7045
(407) 273-4132
(407) 332-5157
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME127805
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN18747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017838200
—
FL
Enumeration date
06/28/2013
Last updated
04/26/2019
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