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Individual

MRS. CANDACE RUFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1317 EDGEWATER DR # 643, ORLANDO, FL 32804-6350
(407) 968-7737
Mailing address
1317 EDGEWATER DR # 643, ORLANDO, FL 32804-6350
(407) 968-7737

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237048
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85-3520251
FL
Enumeration date
05/07/2021
Last updated
05/07/2021
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