Individual
MISS LESLIE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3550 W WATERS AVE, SUITE 260, TAMPA, FL 33614-2716
(813) 374-0298
(813) 374-2224
Mailing address
2440 FAIRBANKS DR, CLEARWATER, FL 33764-2812
(813) 770-8952
(813) 882-0631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA56234
FL
Other
Enumeration date
05/20/2009
Last updated
06/17/2011
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