Individual
JORGE RUIZ LLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(352) 410-4465
Mailing address
5611 SW 34TH ST, OCALA, FL 34474-9468
(352) 410-4465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M8300
TX
207R00000X
Internal Medicine Physician
ME136690
FL
208M00000X
Hospitalist Physician
Primary
ME136690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329239301
—
TX
Enumeration date
07/25/2006
Last updated
01/16/2024
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