Individual
MRS. IVETTE CARDONA RUELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5901 WEBB ROAD, TAMPA, FL 33615
(813) 888-8215
(813) 885-5398
Mailing address
5901 WEBB ROAD, TAMPA, FL 33615
(813) 888-8215
(813) 885-5398
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN650
MEDICAL LICENSE
FL
Enumeration date
04/25/2008
Last updated
03/14/2025
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