Individual
MICHELLE RUIZ MINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4300 ROCK ISLAND RD, LAUDERHILL, FL 33319-4528
(954) 485-6144
(954) 485-6406
Mailing address
401 NORTH MICHIGAN AVE,, STE 1200, CHICAGO, FL 60611-4264
(312) 635-0973
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME110056
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME110056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME110056
LICENSE
FL
Enumeration date
05/30/2008
Last updated
10/30/2015
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