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Individual

ANA RUADOBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 836-2600
(407) 836-2543
Mailing address
6101 LAKE ELLENOR DR, ORLANDO, FL 32809-4616
(407) 858-1400
(407) 858-5523

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 2093582
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014224100
FL
Enumeration date
01/26/2015
Last updated
07/27/2016
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