Individual
JOSE MANUEL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1622 NAVARRE AVE, ORLANDO, FL 32822-8026
(407) 692-8738
Mailing address
1622 NAVARRE AVE, ORLANDO, FL 32822-8026
(407) 692-8738
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
3101-1226943
FL
343900000X
Non-emergency Medical Transport (VAN)
R200-433-65-261-0
FL
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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