Individual
RUBY PONTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
PO BOX 555, DARIEN, GA 31305-0555
(850) 508-5930
Mailing address
PO BOX 555, DARIEN, GA 31305-0555
(850) 508-5930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9184570
FL
363L00000X
Nurse Practitioner
Primary
RN081670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304495500
—
FL
Enumeration date
05/27/2005
Last updated
08/18/2025
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