Individual
JUAN MARIO CORONA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 E JOHNSON AVE STE 106, PENSACOLA, FL 32514-6091
(850) 494-6003
(850) 494-6936
Mailing address
2120 E JOHNSON AVE STE 106, PENSACOLA, FL 32514-6091
(850) 494-6003
(850) 494-6936
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME152543
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2011
Last updated
08/23/2021
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