Individual
CARLOS ENRIQUE RUZ-PAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741
(407) 483-3376
(407) 279-4005
Mailing address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 483-3376
(407) 279-4005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME134901
FL
208M00000X
Hospitalist Physician
Primary
ME134901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100583600
—
FL
01
—
KF348
FL MEDICARE
FL
Enumeration date
03/30/2015
Last updated
03/05/2020
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