Individual
MR. JOSEPH SAMUEL RUIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
106 E MACCLENNY AVE, SUITE A, MACCLENNY, FL 32063-2120
(904) 316-9050
Mailing address
PO BOX 86, MACCLENNY, FL 32063-0086
(904) 316-9050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1600
FL
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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