Individual
MANUEL ALBERTO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(800) 539-4228
(386) 236-3161
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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