Individual
DR. JUSTIN RUOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605-4201
(352) 331-9729
(352) 331-0136
Mailing address
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605-4201
(352) 331-9729
(843) 792-9223
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME129710
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME1298710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1068093-00
—
FL
01
—
MQ299
MEDICARE
—
01
—
MQ300
MEDICARE
—
01
—
V0LMD
BCBS
FL
Enumeration date
06/05/2010
Last updated
03/08/2022
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