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Individual

DR. JOSE MANUEL RUIZ SEPULVEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
Mailing address
471 AUTUMN DAMASK CT, OCOEE, FL 34761-9174

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME140294
FL

Other

Enumeration date
06/15/2016
Last updated
07/01/2019
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