Individual
DANA RUZICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SE FEDERAL HWY, STUART, FL 34994-3725
(772) 361-3717
Mailing address
900 SE FEDERAL HWY, STUART, FL 34994-3725
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 1285291
FL
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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